MEDICARE: ENTERLOCK CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	164W00000X	Licensed Practical Nurse

General Provider Information

NPI Number	:	1023962503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENTERLOCK CORP

Provider Business Mailing Address
First Line	:	415 GLENSPRINGS DR STE 201
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-2353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7416 PIO SPRINGS CT
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014
Country	:	US
Telephone Number	:	513-200-9029
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIANN DILLINGHAM
Credential	:
Telephone Number	:	513-200-9029

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ENTERLOCK CORP ” Practice Location

Language	Start Address	Practice Location

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