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NPI Code Detail

MEDICARE: QUINTINA HARDY

MEDICARE: QUINTINA HARDY
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
1171M00000XCase Manager/Care CoordinatorQMHS3OH
2164W00000XLicensed Practical Nurse159279OH

General Provider Information

NPI Number : 1457802662
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINTINA HARDY
Provider Business Mailing Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3170 W CENTRAL AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43606-2945
Country : US
Telephone Number : 567-316-7253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 01/14/2026

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Directions to “ QUINTINA HARDY ” Practice Location

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