Provider Demographics
NPI:1720840549
Name:ROSLYN OHARA OUTREACH SERVICES
Entity Type:Organization
Organization Name:ROSLYN OHARA OUTREACH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:OHARA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:513-331-0855
Mailing Address - Street 1:9276 YELLOWWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1975
Mailing Address - Country:US
Mailing Address - Phone:513-331-0855
Mailing Address - Fax:
Practice Address - Street 1:9276 YELLOWWOOD DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1975
Practice Address - Country:US
Practice Address - Phone:513-331-0855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health