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NPI Code Detail

MEDICARE: ASHFORD AT MT. WASHINGTON, LLC

MEDICARE: ASHFORD AT MT. WASHINGTON, 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
1310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952831281
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHFORD AT MT. WASHINGTON, LLC
Provider Business Mailing Address
First Line : 160 W MAIN ST STE 200
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-1189
Country : US
Telephone Number : 614-863-4640
Fax Number :
Provider Business Practice Location Address
First Line : 1131 DELIQUIA DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45230-1399
Country : US
Telephone Number : 513-231-0008
Fax Number :
Authorized Official
Title or Position : REGIONAL BOM
Name : STEVEN J CRAIG
Credential :
Telephone Number : 614-753-3961
Provider Enumeration Date : 06/19/2017
Last Update Date : 09/10/2020

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