Exclusive Services | |
11134 Luschek Dr Blue Ash OH 45241-2434 | |
(513) 827-9273 | |
(513) 818-9960 |
Full Name | Exclusive Services |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 11134 Luschek Dr, Blue Ash, Ohio |
Authorized Official Name and Position | Tracy Renee Rawls (PRESIDENT/CEO) |
Authorized Official Contact | 5138279273 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Exclusive Services 11134 Luschek Dr Blue Ash OH 45241-2434 Ph: (513) 827-9273 | Exclusive Services 11134 Luschek Dr Blue Ash OH 45241-2434 Ph: (513) 827-9273 |
NPI Number | 1700157591 |
---|---|
Provider Enumeration Date | 01/25/2012 |
Last Update Date | 02/01/2024 |
Certification Date | 02/01/2024 |
Medicare PECOS PAC ID | 2961702733 |
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Medicare Enrollment ID | O20151201000031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700157591 | NPI | - | NPPES |
Provider Name | Loree D Elahee-lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508094517 PECOS PAC ID: 1658425681 Enrollment ID: I20090811000046 |
Provider Name | Rachael Annette Coleman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538137492 PECOS PAC ID: 2264521731 Enrollment ID: I20170222002536 |
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