MEDICARE: RACHEL MICHELLE PALMER

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	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1174110787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MICHELLE PALMER

Provider Business Mailing Address
First Line	:	3203 33RD ST NE APT C
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-3883
Country	:	US
Telephone Number	:	330-437-8213
Fax Number	:

Provider Business Practice Location Address
First Line	:	3203 33RD ST NE APT C
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-3883
Country	:	US
Telephone Number	:	330-437-8213
Fax Number	:

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

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	12/29/2020

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Directions to “ RACHEL MICHELLE PALMER ” Practice Location

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