| West Cincy Kids Operating Co., Llc | |
|
5505 Cheviot Road Cincinnati OH 45247 | |
| (513) 530-1808 | |
| Not Available |
| Full Name | West Cincy Kids Operating Co., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5505 Cheviot Road, Cincinnati, Ohio |
| Authorized Official Name and Position | Yitzchak Rosedale (PRESIDENT) |
| Authorized Official Contact | 5135301808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cincy Kids Operating Co., Llc 10123 Alliance Rd Blue Ash OH 45242-4887 Ph: (513) 530-1808 | West Cincy Kids Operating Co., Llc 5505 Cheviot Road Cincinnati OH 45247 Ph: (513) 530-1808 |
| NPI Number | 1356053300 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356053300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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