Provider Demographics
NPI:1073399317
Name:MEENACH, LOUIS RAY
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:RAY
Last Name:MEENACH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 CHRISTMAS LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1411
Mailing Address - Country:US
Mailing Address - Phone:513-885-2430
Mailing Address - Fax:
Practice Address - Street 1:536 CHRISTMAS LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1411
Practice Address - Country:US
Practice Address - Phone:513-885-2430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care