MEDICARE: JOAN F. HILL, LLC

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	252Y00000X	Early Intervention Provider Agency		KY

General Provider Information

NPI Number	:	1134662257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOAN F. HILL, LLC

Provider Business Mailing Address
First Line	:	895 W RHUDES CREEK RD
Second Line	:
City	:	GLENDALE
State	:	KY
Zip	:	42740-8333
Country	:	US
Telephone Number	:	270-723-6231
Fax Number	:

Provider Business Practice Location Address
First Line	:	895 W RHUDES CREEK RD
Second Line	:
City	:	GLENDALE
State	:	KY
Zip	:	42740-8333
Country	:	US
Telephone Number	:	270-723-6231
Fax Number	:

Authorized Official
Title or Position	:	DEVELOPMENTAL INTERVENTIONIST
Name	:	JOAN F. HILL
Credential	:
Telephone Number	:	270-723-6231

Provider Enumeration Date	:	11/21/2016
Last Update Date	:	11/21/2016

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