Dlca LLC
Internal Medicine in South Lebanon, OH. Organization (NPI-2).
NPI number1962500124
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1962500124
- Entity type
- Organization (NPI-2)
- Legal business name
- Dlca LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | OH | Yes |
Other names
- Dedicated Longterm Care Associates (Other Name)
Practice location
71 Vista Ridge DrSouth Lebanon, OH 45065-8755
Phone 513-292-6564
Mailing address
71 Vista Ridge DrSouth Lebanon, OH 45065-8755
Phone 513-292-6564
Authorized official
Kenrick Sylvester Richardson
Owner-President
5132926564
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.