MEDICARE: TAJEH NARIE WILLIAMS

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		OH

General Provider Information

NPI Number	:	1558111831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAJEH NARIE WILLIAMS

Provider Business Mailing Address
First Line	:	3407 GLENMORE AVE STE D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-5497
Country	:	US
Telephone Number	:	513-386-9236
Fax Number	:	513-386-9238

Provider Business Practice Location Address
First Line	:	3407 GLENMORE AVE STE D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-5497
Country	:	US
Telephone Number	:	513-386-9236
Fax Number	:	513-386-9238

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

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	11/18/2025

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