Amazinggreys Senior Care LLC
Family Medicine in Springboro, OH. Organization (NPI-2).
NPI number1669946307
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1669946307
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazinggreys Senior Care LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
30 N Lakeshore DrSpringboro, OH 45066-8125
Phone 937-367-9407
Mailing address
30 N Lakeshore DrSpringboro, OH 45066-8125
Phone 937-367-9407
Authorized official
Bobbi Jo Watson
Nurse Practitioner
9373679407
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