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NPI Code Detail

MEDICARE: ELIZA JENNINGS SERVICES CORPORATION

MEDICARE: ELIZA JENNINGS SERVICES CORPORATION
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467655944
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELIZA JENNINGS SERVICES CORPORATION
Provider Business Mailing Address
First Line : 26376 JOHN RD
Second Line :
City : OLMSTED TWP
State : OH
Zip : 44138-1277
Country : US
Telephone Number : 440-235-8592
Fax Number :
Provider Business Practice Location Address
First Line : 26376 JOHN RD
Second Line :
City : OLMSTED TWP
State : OH
Zip : 44138-1277
Country : US
Telephone Number : 440-235-8592
Fax Number :
Authorized Official
Title or Position : HOME HEALTH COORDINATOR
Name : BRYCE GRAY
Credential :
Telephone Number : 440-235-8489
Provider Enumeration Date : 06/11/2007
Last Update Date : 12/19/2025

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Directions to “ELIZA JENNINGS SERVICES CORPORATION ” Practice Location

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