Provider Demographics
NPI:1821269705
Name:ALUM CLIFF
Entity Type:Organization
Organization Name:ALUM CLIFF
Other - Org Name:LIBERTY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-856-8400
Mailing Address - Street 1:1341 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-1635
Mailing Address - Country:US
Mailing Address - Phone:513-856-8400
Mailing Address - Fax:513-856-7042
Practice Address - Street 1:1341 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1635
Practice Address - Country:US
Practice Address - Phone:513-856-8400
Practice Address - Fax:513-856-7042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRG520629251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health