OrganizationActive
Independent for Life
NPI 1679748743 · Exclusive Provider Organization · Cincinnati, OH
Provider details
- NPI number
- 1679748743
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Sharon Mc Cants, Agant Owner
- License
- 2429634 (OH)
Practice location
4301 Cappel Dr
Cincinnati, OH 45205-2023
Phone: (513) 344-9306
Fax: (513) 251-3522
Mailing address
4301 Cappel Dr
Cincinnati, OH 45205-2023
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2008-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.