MEDICARE: JAMILAH HAMEEN

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	253Z00000X	In Home Supportive Care Agency		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932823994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMILAH HAMEEN

Provider Business Mailing Address
First Line	:	3415 MARTIN LUTHER KING JR DR FL 2
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-5717
Country	:	US
Telephone Number	:	121-656-1619
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 MARTIN LUTHER KING JR DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-5717
Country	:	US
Telephone Number	:	216-561-6193
Fax Number	:

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

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	10/03/2022

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Directions to “ JAMILAH HAMEEN ” Practice Location

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