Provider Demographics
NPI:1629884226
Name:STERLING COMMUNITY SUPPORT LIVING
Entity type:Organization
Organization Name:STERLING COMMUNITY SUPPORT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMOAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-568-6811
Mailing Address - Street 1:129 W KEMPER RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2511
Mailing Address - Country:US
Mailing Address - Phone:513-954-0112
Mailing Address - Fax:513-954-0060
Practice Address - Street 1:129 W KEMPER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-2511
Practice Address - Country:US
Practice Address - Phone:513-954-0112
Practice Address - Fax:513-954-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities