Provider Demographics
NPI:1841501061
Name:GUAVA CARE OF OHIO, INC.
Entity type:Organization
Organization Name:GUAVA CARE OF OHIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-673-5315
Mailing Address - Street 1:1055 SAINT PAUL PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-6042
Mailing Address - Country:US
Mailing Address - Phone:513-673-5315
Mailing Address - Fax:513-672-2274
Practice Address - Street 1:1055 SAINT PAUL PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-6042
Practice Address - Country:US
Practice Address - Phone:513-673-5315
Practice Address - Fax:513-672-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health