MEDICARE: JEREMIAH HARMON

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

General Provider Information

NPI Number	:	1184460578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMIAH HARMON

Provider Business Mailing Address
First Line	:	3201 8TH ST NE APT 1501
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-3534
Country	:	US
Telephone Number	:	301-283-7672
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 8TH ST NE APT 1501
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-3534
Country	:	US
Telephone Number	:	301-283-7672
Fax Number	:

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

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/06/2024

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Directions to “ JEREMIAH HARMON ” Practice Location

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