Healthcare Provider Details

I. General information

NPI: 1295342665
Provider Name (Legal Business Name): OPTIONS TO SUCCEED, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 LEBANON ST
MONROE OH
45050-1448
US

IV. Provider business mailing address

913 LEBANON ST
MONROE OH
45050-1448
US

V. Phone/Fax

Practice location:
  • Phone: 513-360-2678
  • Fax:
Mailing address:
  • Phone: 513-360-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE R HEPPERLY
Title or Position: PRESIDENT
Credential:
Phone: 513-967-7911