Provider Demographics
NPI:1457120941
Name:RO. CAM PROPERTIES
Entity Type:Organization
Organization Name:RO. CAM PROPERTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:740-518-5590
Mailing Address - Street 1:1290 DRESDEN ADAMSVILLE RD.
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:OH
Mailing Address - Zip Code:43821
Mailing Address - Country:US
Mailing Address - Phone:740-518-5590
Mailing Address - Fax:740-518-5590
Practice Address - Street 1:715 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:OH
Practice Address - Zip Code:43821
Practice Address - Country:US
Practice Address - Phone:740-518-5590
Practice Address - Fax:740-518-5590
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RO CAM PROPERTIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty