Provider Demographics
NPI:1760046213
Name:RONALD MCDONALD HOUSE OF THE MIAMI VALLEY REGION
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE OF THE MIAMI VALLEY REGION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-224-0047
Mailing Address - Street 1:555 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:555 VALLEY ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1844
Practice Address - Country:US
Practice Address - Phone:937-224-0047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
No174200000XOther Service ProvidersMeals