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NPI Code Detail

MEDICARE: METZCOR LLC

MEDICARE: METZCOR LLC
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
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1730784042
Entity Type Code : Organization
Provider Name (Legal Business Name) : METZCOR LLC
Provider Business Mailing Address
First Line : 5112 CROOKSHANK ROAD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238
Country : US
Telephone Number : 513-223-5333
Fax Number :
Provider Business Practice Location Address
First Line : 5118 CROOKSHANK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3304
Country : US
Telephone Number : 513-223-5333
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ASHLEIGH METZ
Credential :
Telephone Number : 513-223-5333
Provider Enumeration Date : 12/03/2020
Last Update Date : 12/03/2020

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Directions to “METZCOR LLC ” Practice Location

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