Provider Demographics
NPI:1134729072
Name:GREENE, BILLIE L
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:L
Last Name:GREENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15351
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-0351
Mailing Address - Country:US
Mailing Address - Phone:513-827-4890
Mailing Address - Fax:
Practice Address - Street 1:7835 3RD ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2215
Practice Address - Country:US
Practice Address - Phone:513-827-4890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide