MEDICARE: TANIKA L. PRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1164740007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TANIKA L. PRICE

Provider Business Mailing Address
First Line	:	3003 FERGUSON RD
Second Line	:	2
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2430
Country	:	US
Telephone Number	:	513-386-8865
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 FERGUSON RD
Second Line	:	2
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2430
Country	:	US
Telephone Number	:	513-386-8865
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TANIKA L PRICE
Credential	:
Telephone Number	:	513-386-8865

Provider Enumeration Date	:	05/16/2010
Last Update Date	:	02/18/2011

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