MEDICARE: JUSTUS ALSTON

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	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1467130377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTUS ALSTON

Provider Business Mailing Address
First Line	:	1075 GRAND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45204-1705
Country	:	US
Telephone Number	:	513-344-0607
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 CATALPA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-4701
Country	:	US
Telephone Number	:	513-344-0607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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Directions to “ JUSTUS ALSTON ” Practice Location

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