Provider Demographics
NPI:1417678855
Name:OUR FAMILY LEGACY LLC
Entity Type:Organization
Organization Name:OUR FAMILY LEGACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-885-4267
Mailing Address - Street 1:11 GARFIELD PL # 1017
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-4301
Mailing Address - Country:US
Mailing Address - Phone:513-399-7360
Mailing Address - Fax:513-880-0386
Practice Address - Street 1:11 GARFIELD PL # 1017
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-4301
Practice Address - Country:US
Practice Address - Phone:513-399-7360
Practice Address - Fax:513-880-0386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health