MEDICARE: MOLLIE HAYES

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1326586165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLIE HAYES

Provider Business Mailing Address
First Line	:	3173 BOWDOIN CIRCLE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204
Country	:	US
Telephone Number	:	614-254-9601
Fax Number	:

Provider Business Practice Location Address
First Line	:	3173 BOWDOIN CIR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-2169
Country	:	US
Telephone Number	:	614-254-9601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	02/01/2017

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Directions to “ MOLLIE HAYES ” Practice Location

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