Provider Demographics
NPI:1437296381
Name:SEBSAM (SBS) FAMILY CARE SERVICES, CORP.
Entity Type:Organization
Organization Name:SEBSAM (SBS) FAMILY CARE SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:OMOYOSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-761-4871
Mailing Address - Street 1:231 N WAYNE AVE
Mailing Address - Street 2:#3
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-2867
Mailing Address - Country:US
Mailing Address - Phone:513-761-4871
Mailing Address - Fax:513-761-1353
Practice Address - Street 1:231 N WAYNE AVE
Practice Address - Street 2:#3
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2867
Practice Address - Country:US
Practice Address - Phone:513-761-4871
Practice Address - Fax:513-761-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health