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NPI Code Detail

MEDICARE: SARAH ROBERTS

MEDICARE:   SARAH  ROBERTS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1871108951
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ROBERTS
Provider Business Mailing Address
First Line : 6456 STATE ROUTE 245
Second Line :
City : DE GRAFF
State : OH
Zip : 43318-9545
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6456 STATE ROUTE 245
Second Line :
City : DE GRAFF
State : OH
Zip : 43318-9545
Country : US
Telephone Number : 391-539-0104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2020
Last Update Date : 09/15/2020

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Directions to “ SARAH ROBERTS ” Practice Location

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