MEDICARE: KAREN AYTES-ROCHESTER COS, TCS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1932867587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN AYTES-ROCHESTER COS, TCS

Provider Business Mailing Address
First Line	:	5025 DELEON OAKS CT
Second Line	:
City	:	DE LEON SPRINGS
State	:	FL
Zip	:	32130-3024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5025 DELEON OAKS CT
Second Line	:
City	:	DE LEON SPRINGS
State	:	FL
Zip	:	32130-3024
Country	:	US
Telephone Number	:	386-601-4315
Fax Number	:

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

Provider Enumeration Date	:	12/01/2021
Last Update Date	:	12/01/2021

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