MEDICARE: TASHA CHERIE HALE

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1386356889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHA CHERIE HALE

Provider Business Mailing Address
First Line	:	3416 E 134TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-3989
Country	:	US
Telephone Number	:	216-242-7185
Fax Number	:

Provider Business Practice Location Address
First Line	:	3416 E 134TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-3989
Country	:	US
Telephone Number	:	216-242-7185
Fax Number	:

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

Provider Enumeration Date	:	12/16/2022
Last Update Date	:	12/16/2022

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Directions to “ TASHA CHERIE HALE ” Practice Location

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