MEDICARE: HAYLEY JEAN BAKER

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	376J00000X	Homemaker		OH

General Provider Information

NPI Number	:	1306682083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY JEAN BAKER

Provider Business Mailing Address
First Line	:	2077 SCHUELER DR
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-4041
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7440 MAR DEL DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-1808
Country	:	US
Telephone Number	:	513-289-6788
Fax Number	:

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

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	07/02/2024

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Directions to “ HAYLEY JEAN BAKER ” Practice Location

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