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NPI Code Detail

MEDICARE: UNITED CHURCH HOMES INC

MEDICARE: UNITED CHURCH HOMES INC
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
1291U00000XClinical Medical Laboratory36D0347100OH

General Provider Information

NPI Number : 1982865762
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED CHURCH HOMES INC
Provider Business Mailing Address
First Line : 5999 BENDER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-1601
Country : US
Telephone Number : 877-870-0035
Fax Number :
Provider Business Practice Location Address
First Line : 5999 BENDER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-1601
Country : US
Telephone Number : 877-870-0035
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT FINANCIAL SERVICES
Name : MR. JOHN STONER
Credential :
Telephone Number : 740-382-4885
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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