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NPI Code Detail

MEDICARE: CAMILLE HARRIS

MEDICARE:   CAMILLE  HARRIS
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
1374U00000XHome Health AideOH

General Provider Information

NPI Number : 1033862933
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE HARRIS
Provider Business Mailing Address
First Line : 4127 E 141ST ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-1805
Country : US
Telephone Number : 216-577-2211
Fax Number :
Provider Business Practice Location Address
First Line : 4127 E 141ST ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-1805
Country : US
Telephone Number : 216-577-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2022
Last Update Date : 01/31/2022

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Directions to “ CAMILLE HARRIS ” Practice Location

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