Provider Demographics
NPI:1922573617
Name:TREASURE ENRICHMENT ZONE HEALTHCARE & TRAINING CENTER LLC
Entity Type:Organization
Organization Name:TREASURE ENRICHMENT ZONE HEALTHCARE & TRAINING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANTERNITIA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-546-5048
Mailing Address - Street 1:7225 COLERAIN AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5329
Mailing Address - Country:US
Mailing Address - Phone:513-546-5048
Mailing Address - Fax:
Practice Address - Street 1:7225 COLERAIN AVE STE 203
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5329
Practice Address - Country:US
Practice Address - Phone:513-546-5048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health