Healthcare Provider Details
I. General information
NPI: 1902400732
Provider Name (Legal Business Name): WATSEKA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6144 HEMPWOOD AVE
CINCINNATI OH
45224-2652
US
IV. Provider business mailing address
9654 OLD STABLE CT
MASON OH
45040-8634
US
V. Phone/Fax
- Phone: 513-403-9825
- Fax:
- Phone: 513-403-9825
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: