MEDICARE: MARQUISA LATTIMORE

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		OH

General Provider Information

NPI Number	:	1679417398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUISA LATTIMORE

Provider Business Mailing Address
First Line	:	6162 DELCREST DR
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5346
Country	:	US
Telephone Number	:	513-546-8572
Fax Number	:

Provider Business Practice Location Address
First Line	:	8162 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-4516
Country	:	US
Telephone Number	:	513-546-8572
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ MARQUISA LATTIMORE ” Practice Location

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