MEDICARE: CATHERINE ELIZABETH WHITE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1598371338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ELIZABETH WHITE

Provider Business Mailing Address
First Line	:	2775 BRAMBLEBUSH CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2505
Country	:	US
Telephone Number	:	614-546-8493
Fax Number	:

Provider Business Practice Location Address
First Line	:	2775 BRAMBLEBUSH CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2505
Country	:	US
Telephone Number	:	614-546-8493
Fax Number	:

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

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	09/17/2020

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Directions to “ CATHERINE ELIZABETH WHITE ” Practice Location

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