Provider Demographics
NPI:1548678642
Name:NORTH COLLEGE HILL COMMUNITY SENIORS INC.
Entity type:Organization
Organization Name:NORTH COLLEGE HILL COMMUNITY SENIORS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-521-3462
Mailing Address - Street 1:1586 GOODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1005
Mailing Address - Country:US
Mailing Address - Phone:513-521-3462
Mailing Address - Fax:513-521-2365
Practice Address - Street 1:1586 GOODMAN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1005
Practice Address - Country:US
Practice Address - Phone:513-521-3462
Practice Address - Fax:513-521-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals