MEDICARE: JEANETTE MCGHEE

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	374U00000X	Home Health Aide	37400000X	OH

General Provider Information

NPI Number	:	1881129773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANETTE MCGHEE

Provider Business Mailing Address
First Line	:	1325 ANSEL RD APT 103
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1080
Country	:	US
Telephone Number	:	614-216-3305
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 ANSEL RD APT 103
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1080
Country	:	US
Telephone Number	:	614-216-3305
Fax Number	:

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

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	04/27/2017

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Directions to “ JEANETTE MCGHEE ” Practice Location

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