MEDICARE: CHERYL V MURRAY

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1033781422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL V MURRAY

Provider Business Mailing Address
First Line	:	15201 KINGSFORD AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1149
Country	:	US
Telephone Number	:	216-253-8544
Fax Number	:	216-205-4061

Provider Business Practice Location Address
First Line	:	15201 KINGSFORD AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-1149
Country	:	US
Telephone Number	:	216-253-8544
Fax Number	:	216-205-4061

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

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	07/14/2021

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Directions to “ CHERYL V MURRAY ” Practice Location

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