NPI 1104525393

Amazing Grace Residencial Services LLC

Organisation PACE Provider Organization Cincinnati, OH

Practice location

Address: 522 Smiley Ave, Cincinnati, OH 45246-2220
Phone: (513) 807-7950

Authorised official

Name: Rolande Tiemeni
Title: Owner
Phone: (513) 807-7950

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Ohio →

Registry record

NPI: 1104525393
Entity type: Organization
NPI issued: 27 Feb 2023
Record last updated: 27 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.