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NPI Code Detail

MEDICARE: JANELL MCGREEVY CDCA

MEDICARE: JANELL MCGREEVY CDCA
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
1324500000XSubstance Abuse Rehabilitation Facility175504OH

General Provider Information

NPI Number : 1316523210
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELL MCGREEVY CDCA
Provider Business Mailing Address
First Line : 102 ROBERT ST
Second Line :
City : DAYTON
State : OH
Zip : 45449-1224
Country : US
Telephone Number : 937-212-1409
Fax Number :
Provider Business Practice Location Address
First Line : 1215 1ST AVE
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-4117
Country : US
Telephone Number : 937-212-1409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 05/03/2021

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Directions to “ JANELL MCGREEVY CDCA” Practice Location

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