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NPI Code Detail

MEDICARE: DAVID L HARPER JR. PERSONAL CARE AIDE

MEDICARE:   DAVID L HARPER JR. PERSONAL CARE AIDE
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 : 1912500885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID L HARPER JR. PERSONAL CARE AIDE
Provider Business Mailing Address
First Line : 1302 RAMBLEWOOD TRL
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-4078
Country : US
Telephone Number : 216-322-8443
Fax Number :
Provider Business Practice Location Address
First Line : 1302 RAMBLEWOOD TRL
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-4078
Country : US
Telephone Number : 216-322-8443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2020
Last Update Date : 12/05/2022

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Directions to “ DAVID L HARPER JR. PERSONAL CARE AIDE” Practice Location

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