MEDICARE: MARIAH HILL

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	374U00000X	Home Health Aide		OH
2	376K00000X	Nurse's Aide	602592281122	OH

General Provider Information

NPI Number	:	1417721317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH HILL

Provider Business Mailing Address
First Line	:	1506 W NORTH BEND RD APT 11
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2543
Country	:	US
Telephone Number	:	513-394-1135
Fax Number	:

Provider Business Practice Location Address
First Line	:	1506 W NORTH BEND RD APT 11
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2543
Country	:	US
Telephone Number	:	513-394-1135
Fax Number	:

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

Provider Enumeration Date	:	11/10/2023
Last Update Date	:	11/10/2023

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Directions to “ MARIAH HILL ” Practice Location

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