Healthcare Provider Details

I. General information

NPI: 1548288350
Provider Name (Legal Business Name): TALBERT HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9018 CINCINNATI COLUMBUS RD
WEST CHESTER OH
45069-3565
US

IV. Provider business mailing address

2600 VICTORY PKWY
CINCINNATI OH
45206-1711
US

V. Phone/Fax

Practice location:
  • Phone: 513-755-8133
  • Fax: 513-755-8185
Mailing address:
  • Phone: 513-751-7747
  • Fax: 513-751-0180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM D HOSTLER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 513-751-7747