MEDICARE: TERRAIN PRICE

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		OH

General Provider Information

NPI Number	:	1053130856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRAIN PRICE

Provider Business Mailing Address
First Line	:	1465 PARK CLUB DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-4605
Country	:	US
Telephone Number	:	614-809-9570
Fax Number	:

Provider Business Practice Location Address
First Line	:	1465 PARK CLUB DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-4605
Country	:	US
Telephone Number	:	614-809-9570
Fax Number	:

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

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	10/08/2024

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Directions to “ TERRAIN PRICE ” Practice Location

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