Provider Demographics
NPI:1124376439
Name:MILLENIUM NURSING AGENCY
Entity Type:Organization
Organization Name:MILLENIUM NURSING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:EFEURHOBO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-825-9080
Mailing Address - Street 1:130 TRI COUNTY PKWY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3289
Mailing Address - Country:US
Mailing Address - Phone:513-825-9080
Mailing Address - Fax:
Practice Address - Street 1:130 TRI COUNTY PKWY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3289
Practice Address - Country:US
Practice Address - Phone:513-825-9080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.287196251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health