MEDICARE: JANE MORRIS

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	3747P1801X	Personal Care Attendant		OH

General Provider Information

NPI Number	:	1841886934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE MORRIS

Provider Business Mailing Address
First Line	:	9775 MACEDONIA RD
Second Line	:
City	:	HOPEWELL
State	:	OH
Zip	:	43746-9758
Country	:	US
Telephone Number	:	740-787-2602
Fax Number	:	740-868-2134

Provider Business Practice Location Address
First Line	:	9775 MACEDONIA RD
Second Line	:
City	:	HOPEWELL
State	:	OH
Zip	:	43746-9758
Country	:	US
Telephone Number	:	740-787-2602
Fax Number	:	740-868-2134

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

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	12/14/2020

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