MEDICARE: ALYSON CUNNINGHAM

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1811748700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON CUNNINGHAM

Provider Business Mailing Address
First Line	:	310 S HIGH ST
Second Line	:
City	:	HEBRON
State	:	OH
Zip	:	43025-9691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 S HIGH ST
Second Line	:
City	:	HEBRON
State	:	OH
Zip	:	43025-9691
Country	:	US
Telephone Number	:	614-816-1643
Fax Number	:

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

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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Directions to “ ALYSON CUNNINGHAM ” Practice Location

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