MEDICARE: ACQUISHA LEAR

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629719067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ACQUISHA LEAR

Provider Business Mailing Address
First Line	:	3072 WARDALL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4906
Country	:	US
Telephone Number	:	513-301-6071
Fax Number	:

Provider Business Practice Location Address
First Line	:	3072 WARDALL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4906
Country	:	US
Telephone Number	:	513-301-6071
Fax Number	:

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

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	04/06/2022

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Directions to “ ACQUISHA LEAR ” Practice Location

Language	Start Address	Practice Location

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