MEDICARE: RAHHSHAHUN COLLEY

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	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1821944216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHHSHAHUN COLLEY

Provider Business Mailing Address
First Line	:	893 S MAIN ST # 396
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-2814
Country	:	US
Telephone Number	:	678-641-1610
Fax Number	:

Provider Business Practice Location Address
First Line	:	893 S MAIN ST # 396
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-2814
Country	:	US
Telephone Number	:	614-632-5622
Fax Number	:

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

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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Directions to “ RAHHSHAHUN COLLEY ” Practice Location

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