Jackson Lane

LBN: Camelot Realty, Llc
Jackson Lane is an health care organization with primary practice located at 1909 Jackson Lane , Middletown OH 45042. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Camelot Realty, Llc can be contacted via phone (513) 858-4550, or through Pank, Mary A via phone (502) 420-2666.

Contact Information

Primary practice address
1909 Jackson Lane Middletown OH 45042
Phone: (513) 858-4550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pank, Mary A
Phone: (502) 420-2666

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1184074650
LBN Legal business name Camelot Realty, Llc
DBA Doing business as Jackson Lane
Authorized official Pank, Mary A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2016
Last updated Jun 15th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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