NPI 1114348836

Quality Care for Independence

Organisation Exclusive Provider Organization Cincinnati, OH

Practice location

Address: 7933 Greenland Pl, Cincinnati, OH 45237-1056
Phone: (513) 821-9757
Fax: (513) 821-0232

Authorised official

Name: Russell C Brazzle
Title: Ceo
Phone: (513) 365-7939

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 3110207 (OH)

Other Exclusive Provider Organization providers in Ohio →

Registry record

NPI: 1114348836
Entity type: Organization
NPI issued: 23 Dec 2013
Record last updated: 23 Dec 2013

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.