Provider Demographics
NPI:1073342572
Name:HILES, ROBIN J
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:J
Last Name:HILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 PLEASANT HILL COOPER RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:LUCASVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45648-9142
Mailing Address - Country:US
Mailing Address - Phone:740-352-9252
Mailing Address - Fax:
Practice Address - Street 1:477 PLEASANT HILL COOPER RD UNIT C
Practice Address - Street 2:
Practice Address - City:LUCASVILLE
Practice Address - State:OH
Practice Address - Zip Code:45648-9142
Practice Address - Country:US
Practice Address - Phone:740-352-9252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide