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NPI Code Detail

MEDICARE: MS. ANGELA MARIE GREENE

MEDICARE:  MS. ANGELA MARIE GREENE
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
1172A00000XDriver
2376J00000XHomemaker
3385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1114774007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA MARIE GREENE
Provider Business Mailing Address
First Line : 5255 SOUTHGATE BLVD APT F
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-3492
Country : US
Telephone Number : 513-426-0847
Fax Number :
Provider Business Practice Location Address
First Line : 5255 SOUTHGATE BLVD APT F
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-3492
Country : US
Telephone Number : 513-426-0847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 04/30/2024

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Directions to “ MS. ANGELA MARIE GREENE ” Practice Location

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