MEDICARE: SANDRA K BATTLE

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	3747P1801X	Personal Care Attendant		OH

General Provider Information

NPI Number	:	1104679919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA K BATTLE

Provider Business Mailing Address
First Line	:	70 MAPLEWOOD AVE APT B
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-1767
Country	:	US
Telephone Number	:	614-622-7353
Fax Number	:

Provider Business Practice Location Address
First Line	:	2928 GERBERT RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4257
Country	:	US
Telephone Number	:	614-906-3670
Fax Number	:

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

Provider Enumeration Date	:	04/10/2024
Last Update Date	:	04/10/2024

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Directions to “ SANDRA K BATTLE ” Practice Location

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