MEDICARE: MRS. LAURA A GERIG

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

General Provider Information

NPI Number	:	1124719943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA A GERIG

Provider Business Mailing Address
First Line	:	611 39TH ST SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44706-4816
Country	:	US
Telephone Number	:	234-804-4612
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 SELDEN AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44301-3148
Country	:	US
Telephone Number	:	234-804-4612
Fax Number	:

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

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

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Directions to “ MRS. LAURA A GERIG ” Practice Location

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