Provider Demographics
NPI:1477989143
Name:ADAMORE, ALLEN FRANKLIN JR (LSW LCDC III)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:FRANKLIN
Last Name:ADAMORE
Suffix:JR
Gender:M
Credentials:LSW LCDC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BURTON WOODS LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1321
Mailing Address - Country:US
Mailing Address - Phone:513-706-6717
Mailing Address - Fax:
Practice Address - Street 1:22 BURTON WOODS LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-1321
Practice Address - Country:US
Practice Address - Phone:513-706-6717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31-0792742324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility