Dedicated Longterm Care Associates | |
71 Vista Ridge Dr South Lebanon OH 45065-8755 | |
(513) 292-6564 | |
Not Available |
Full Name | Dedicated Longterm Care Associates |
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Speciality | Internal Medicine |
Location | 71 Vista Ridge Dr, South Lebanon, Ohio |
Authorized Official Name and Position | Kenrick Sylvester Richardson (OWNER-PRESIDENT) |
Authorized Official Contact | 5132926564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dedicated Longterm Care Associates 71 Vista Ridge Dr South Lebanon OH 45065-8755 Ph: (513) 292-6564 | Dedicated Longterm Care Associates 71 Vista Ridge Dr South Lebanon OH 45065-8755 Ph: (513) 292-6564 |
NPI Number | 1962500124 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1962500124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (Ohio) | Primary |