Provider Demographics
NPI:1700063104
Name:J F LOCKWOOD INC
Entity Type:Organization
Organization Name:J F LOCKWOOD INC
Other - Org Name:B WALTER ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-553-2141
Mailing Address - Street 1:515 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:OH
Mailing Address - Zip Code:45157-1140
Mailing Address - Country:US
Mailing Address - Phone:513-553-2141
Mailing Address - Fax:513-553-2353
Practice Address - Street 1:3868 MCMANN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2306
Practice Address - Country:US
Practice Address - Phone:513-347-0400
Practice Address - Fax:513-553-2353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services