Healthcare Provider Details

I. General information

NPI: 1619799004
Provider Name (Legal Business Name): DAYVIEW STATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 WALNUT ST # 1026
CINCINNATI OH
45202-7126
US

IV. Provider business mailing address

1315 WALNUT ST # 1026
CINCINNATI OH
45202-7126
US

V. Phone/Fax

Practice location:
  • Phone: 800-662-3241
  • Fax:
Mailing address:
  • Phone: 800-662-3241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENYA PATRICE LEWIS
Title or Position: OWNER
Credential:
Phone: 800-662-3241