Healthcare Provider Details
I. General information
NPI: 1174880926
Provider Name (Legal Business Name): TARONE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2012
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
260 NORTHLAND BLVD SUITE 228
CINCINNATI OH
45246-4917
US
IV. Provider business mailing address
260 NORTHLAND BLVD SUITE 228
CINCINNATI OH
45246-4917
US
V. Phone/Fax
- Phone: 513-233-8884
- Fax: 513-842-8693
- Phone: 513-233-8884
- Fax: 513-842-8693
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
BROWNELL
BOOTHE
Title or Position: PRESIDENT
Credential:
Phone: 513-233-8884