MEDICARE: AISHAH MUHAMMAD

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003527441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHAH MUHAMMAD

Provider Business Mailing Address
First Line	:	525 S DETROIT AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1931
Country	:	US
Telephone Number	:	567-420-5570
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 S DETROIT AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1931
Country	:	US
Telephone Number	:	567-420-5570
Fax Number	:

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

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	12/07/2022

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Directions to “ AISHAH MUHAMMAD ” Practice Location

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