Organization · NPI-2

A Private Place LLC

Chiropractor, Neurology · Dayton, OH

NPI number1558778084
StatusActive
Last updated in NPPESJul 16, 2014

Details

NPI
1558778084
Entity type
Organization (NPI-2)
Legal business name
A Private Place LLC
Organization subpart
No
Enumeration date
Jul 16, 2014
Last updated
Jul 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NN0400X Chiropractor, NeurologyMANM993092OHYes
251E00000X Home HealthMANM993092OH
253Z00000X In Home Supportive CareMANM993092OH
282E00000X Long Term Care HospitalMANM993092OH
385HR2055X Respite Care, Respite Care, Mental Illness, ChildMANM993092OH

Practice location

8759 Mardi Gras Dr
Dayton, OH 45424-1039

Phone 937-681-0184 · Fax 937-236-0892

Mailing address

8759 Mardi Gras Dr
Dayton, OH 45424-1039

Phone 837-681-0184

Authorized official

Eileen Watson Darden
Owner
9376810184

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