Provider Demographics
NPI:1033416938
Name:WHITE HOUSE INN, INC
Entity Type:Organization
Organization Name:WHITE HOUSE INN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-489-7141
Mailing Address - Street 1:4940 MULHAUSER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9712
Mailing Address - Country:US
Mailing Address - Phone:513-860-1110
Mailing Address - Fax:513-860-9050
Practice Address - Street 1:4940 MULHAUSER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-9712
Practice Address - Country:US
Practice Address - Phone:513-860-1110
Practice Address - Fax:513-860-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-12
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals