MEDICARE: TYLER HARDIN

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1699267229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER HARDIN

Provider Business Mailing Address
First Line	:	7659 MONTGOMERY RD STE 3
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4266
Country	:	US
Telephone Number	:	513-236-6301
Fax Number	:

Provider Business Practice Location Address
First Line	:	1646 GLASGOW CT
Second Line	:
City	:	FT WRIGHT
State	:	KY
Zip	:	41011-1807
Country	:	US
Telephone Number	:	513-236-6301
Fax Number	:

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

Provider Enumeration Date	:	05/30/2018
Last Update Date	:	05/30/2018

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Directions to “ TYLER HARDIN ” Practice Location

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