MEDICARE: TIARIA S DAILEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	374U00000X	Home Health Aide
4	376J00000X	Homemaker

General Provider Information

NPI Number	:	1366723355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIARIA S DAILEY

Provider Business Mailing Address
First Line	:	4887 HAMILTON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1505
Country	:	US
Telephone Number	:	513-546-5592
Fax Number	:

Provider Business Practice Location Address
First Line	:	4887 HAMILTON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1505
Country	:	US
Telephone Number	:	513-546-5592
Fax Number	:

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

Provider Enumeration Date	:	09/02/2011
Last Update Date	:	09/02/2011

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Directions to “ TIARIA S DAILEY ” Practice Location

Language	Start Address	Practice Location

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