MEDICARE: EMBRE DIANA NORMAN

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
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073320164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMBRE DIANA NORMAN

Provider Business Mailing Address
First Line	:	5196 FAIRFAX DR
Second Line	:
City	:	GENEVA
State	:	OH
Zip	:	44041-9756
Country	:	US
Telephone Number	:	440-265-7294
Fax Number	:

Provider Business Practice Location Address
First Line	:	5196 FAIRFAX DR
Second Line	:
City	:	GENEVA
State	:	OH
Zip	:	44041-9756
Country	:	US
Telephone Number	:	440-265-7294
Fax Number	:

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

Provider Enumeration Date	:	12/12/2024
Last Update Date	:	12/12/2024

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Directions to “ EMBRE DIANA NORMAN ” Practice Location

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