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NPI Code Detail

MEDICARE: NIGHTINGALES HOME HEALTH AGENCY, LLC

MEDICARE: NIGHTINGALES HOME HEALTH AGENCY, LLC
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
1251E00000XHome Health AgencyRN.314083OH

General Provider Information

NPI Number : 1265734784
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIGHTINGALES HOME HEALTH AGENCY, LLC
Provider Business Mailing Address
First Line : 8044 MONTGOMERY RD STE 700
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2926
Country : US
Telephone Number : 513-278-3270
Fax Number : 513-672-0726
Provider Business Practice Location Address
First Line : 8044 MONTGOMERY RD STE 700
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2926
Country : US
Telephone Number : 513-278-3270
Fax Number : 513-672-0726
Authorized Official
Title or Position : PRESIDENT,CEO
Name : KENETA LACHELLE WRIGHT
Credential : RN
Telephone Number : 513-278-3270
Provider Enumeration Date : 12/04/2010
Last Update Date : 12/04/2010

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