Provider Demographics
NPI:1659008282
Name:MENISCUS OMEGA LLC
Entity Type:Organization
Organization Name:MENISCUS OMEGA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMILA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:FUNERAL DIRECTOR
Authorized Official - Phone:513-883-3700
Mailing Address - Street 1:975 ENRIGHT AVE UNIT 7045
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45205-7527
Mailing Address - Country:US
Mailing Address - Phone:513-883-3700
Mailing Address - Fax:
Practice Address - Street 1:558 LOWELL AVE
Practice Address - Street 2:#5
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220
Practice Address - Country:US
Practice Address - Phone:513-883-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176P00000XOther Service ProvidersFuneral DirectorGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty