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NPI Code Detail

MEDICARE: TOMARAH STARR MEDLEY

MEDICARE: TOMARAH STARR MEDLEY
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
1163WH0200XHome Health Registered Nurse283881Q54OH

General Provider Information

NPI Number : 1356810238
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMARAH STARR MEDLEY
Provider Business Mailing Address
First Line : 3425 E 72ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44127-2008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3425 E 72ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44127-2008
Country : US
Telephone Number : 216-338-1826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2018
Last Update Date : 11/20/2018

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Directions to “ TOMARAH STARR MEDLEY ” Practice Location

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