MEDICARE: ZHANE CLIFFORD

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	402107690918	OH

General Provider Information

NPI Number	:	1639633712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHANE CLIFFORD

Provider Business Mailing Address
First Line	:	1651 W NORTH BEND RD APT 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1651 W NORTH BEND RD APT 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2029
Country	:	US
Telephone Number	:	513-295-7346
Fax Number	:

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

Provider Enumeration Date	:	01/23/2019
Last Update Date	:	01/23/2019

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Directions to “ ZHANE CLIFFORD ” Practice Location

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