Healthcare Provider Details

I. General information

NPI: 1578539003
Provider Name (Legal Business Name): JAMES D, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 BRIDGETOWN RD
CINCINNATI OH
45211-4428
US

IV. Provider business mailing address

4320 BRIDGETOWN RD
CINCINNATI OH
45211
US

V. Phone/Fax

Practice location:
  • Phone: 513-574-4550
  • Fax: 513-598-3970
Mailing address:
  • Phone: 513-574-4550
  • Fax: 513-598-3970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2124N
License Number StateOH

VIII. Authorized Official

Name: DANIEL J SUER
Title or Position: ADMINISTRATOR
Credential:
Phone: 513-574-4550