Provider Demographics
NPI:1356579676
Name:DRAKE DEVELOPMENT, INC
Entity type:Organization
Organization Name:DRAKE DEVELOPMENT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN; PHD
Authorized Official - Phone:513-418-2509
Mailing Address - Street 1:165 W GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-1033
Mailing Address - Country:US
Mailing Address - Phone:513-418-4371
Mailing Address - Fax:513-418-4379
Practice Address - Street 1:165 W GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1033
Practice Address - Country:US
Practice Address - Phone:513-418-4371
Practice Address - Fax:513-418-4379
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRAKE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-25
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2306R310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility