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NPI Code Detail

MEDICARE: STANYELL MICHELLE CHANCELLOR

MEDICARE:   STANYELL MICHELLE CHANCELLOR
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityOH

General Provider Information

NPI Number : 1881526218
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANYELL MICHELLE CHANCELLOR
Provider Business Mailing Address
First Line : 5921 OAKWOOD AVE APT 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2350
Country : US
Telephone Number : 702-781-6009
Fax Number :
Provider Business Practice Location Address
First Line : 5921 OAKWOOD AVE APT 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2350
Country : US
Telephone Number : 702-781-6009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ STANYELL MICHELLE CHANCELLOR ” Practice Location

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