MEDICARE: FREE TRUTH ENTERPRISE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251J00000X	Nursing Care Agency
3	251V00000X	Voluntary or Charitable Agency
4	302R00000X	Health Maintenance Organization
5	305S00000X	Point of Service
6	3104A0625X	Assisted Living Facility (Mental Illness)
7	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
8	332U00000X	Home Delivered Meals
9	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1740535418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREE TRUTH ENTERPRISE

Provider Business Mailing Address
First Line	:	PO BOX 11034
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-0034
Country	:	US
Telephone Number	:	877-770-5282
Fax Number	:	877-694-3466

Provider Business Practice Location Address
First Line	:	4373 W 8TH ST
Second Line	:	SUIT 17
City	:	CINCINNATI
State	:	OH
Zip	:	45205-2066
Country	:	US
Telephone Number	:	877-770-5282
Fax Number	:	877-694-3466

Authorized Official
Title or Position	:	CHIEF EXECUTIVE DIRECTOR
Name	:	REGINA SHIELDS
Credential	:
Telephone Number	:	513-373-0405

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	07/19/2012

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Directions to “FREE TRUTH ENTERPRISE ” Practice Location

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