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NPI Code Detail

MEDICARE: BAILEY HOLLINS

MEDICARE:   BAILEY  HOLLINS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1366039943
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY HOLLINS
Provider Business Mailing Address
First Line : 7641 NORMANDIE BLVD
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-6562
Country : US
Telephone Number : 216-299-3882
Fax Number :
Provider Business Practice Location Address
First Line : 26055 EMERY RD STE G
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-6211
Country : US
Telephone Number : 216-342-4445
Fax Number : 216-342-4443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 06/07/2022

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Directions to “ BAILEY HOLLINS ” Practice Location

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