NPI 1679748743

Independent for Life

Organisation Exclusive Provider Organization Cincinnati, OH

Practice location

Address: 4301 Cappel Dr, Cincinnati, OH 45205-2023
Phone: (513) 344-9306
Fax: (513) 251-3522

Authorised official

Name: Sharon L Mc Cants
Title: Agant Owner
Phone: (513) 344-9306

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2429634 (OH)

Other Exclusive Provider Organization providers in Ohio →

Registry record

NPI: 1679748743
Entity type: Organization
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

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.