Healthcare Provider Details
I. General information
NPI: 1720222029
Provider Name (Legal Business Name): REMNANT VISION COMMUNITY DEV. CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2009
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10999 REED HARTMAN HWY SUITE 332
CINCINNATI OH
45242-8331
US
IV. Provider business mailing address
10999 REED HARTMAN HWY SUITE 332
CINCINNATI OH
45242-8331
US
V. Phone/Fax
- Phone: 513-793-7823
- Fax:
- Phone: 513-793-7823
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
PAMELA
JEAN
BOWERS
Title or Position: CEO
Credential:
Phone: 513-793-7823