Individual
THEODORE JOSEPH HYLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10412 ZOCALO DR, CINCINNATI, OH 45251-1011
(513) 560-0791
Mailing address
10412 ZOCALO DR, CINCINNATI, OH 45251-1011
(513) 560-0791
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3124958
OHIO DODD
—
Enumeration date
03/29/2021
Last updated
03/29/2021
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