MEDICARE: DOROTHY A HORTON

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	:	1750112710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY A HORTON

Provider Business Mailing Address
First Line	:	5568 GRASMERE AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-3442
Country	:	US
Telephone Number	:	216-272-9830
Fax Number	:

Provider Business Practice Location Address
First Line	:	5568 GRASMERE AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-3442
Country	:	US
Telephone Number	:	216-272-9830
Fax Number	:

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

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	08/12/2024

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Directions to “ DOROTHY A HORTON ” Practice Location

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