Provider Demographics
NPI:1316630312
Name:ZENEBE, BETELIHEM (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:
First Name:BETELIHEM
Middle Name:
Last Name:ZENEBE
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3216 HERITAGE SQUARE DR APT 20
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-5152
Mailing Address - Country:US
Mailing Address - Phone:513-264-3361
Mailing Address - Fax:
Practice Address - Street 1:3216 HERITAGE SQUARE DR APT 20
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-5152
Practice Address - Country:US
Practice Address - Phone:513-264-3361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty