Healthcare Provider Details

I. General information

NPI: 1588500615
Provider Name (Legal Business Name): EMILY LOUISE HULL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5097 N TOWNSHIP ROAD 137
TIFFIN OH
44883-9447
US

IV. Provider business mailing address

5097 N TOWNSHIP ROAD 137
TIFFIN OH
44883-9447
US

V. Phone/Fax

Practice location:
  • Phone: 419-618-5296
  • Fax:
Mailing address:
  • Phone: 419-618-5296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: