MEDICARE: DAN ERIN BOYLE

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

General Provider Information

NPI Number	:	1184109795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAN ERIN BOYLE

Provider Business Mailing Address
First Line	:	440 ORCHARDVIEW RD
Second Line	:
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-5841
Country	:	US
Telephone Number	:	440-623-1279
Fax Number	:	866-450-6446

Provider Business Practice Location Address
First Line	:	440 ORCHARDVIEW RD
Second Line	:
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-5841
Country	:	US
Telephone Number	:	440-623-1279
Fax Number	:	866-450-6446

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

Provider Enumeration Date	:	09/28/2018
Last Update Date	:	09/28/2018

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Directions to “ DAN ERIN BOYLE ” Practice Location

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