Healthcare Provider Details

I. General information

NPI: 1699282038
Provider Name (Legal Business Name): FRIENDS ON THE GO LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1769 CARLL ST
CINCINNATI OH
45225-1939
US

IV. Provider business mailing address

3028 S HEGRY CIR
CINCINNATI OH
45238-3511
US

V. Phone/Fax

Practice location:
  • Phone: 513-253-7627
  • Fax:
Mailing address:
  • Phone: 513-253-7627
  • 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: JOHN F MUMPHREY
Title or Position: GEN PTR
Credential:
Phone: 513-253-7627