MEDICARE: THELLA TURNER

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	374U00000X	Home Health Aide		OH
2	376J00000X	Homemaker		OH

General Provider Information

NPI Number	:	1578273835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THELLA TURNER

Provider Business Mailing Address
First Line	:	2354 LINDEN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1632
Country	:	US
Telephone Number	:	614-948-9366
Fax Number	:

Provider Business Practice Location Address
First Line	:	2354 LINDEN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-1632
Country	:	US
Telephone Number	:	614-948-9366
Fax Number	:

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

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	11/28/2022

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Directions to “ THELLA TURNER ” Practice Location

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