MEDICARE: MRS. JULIEMARIE CHAMBLESS

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	372500000X	Chore Provider
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1144392218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIEMARIE CHAMBLESS

Provider Business Mailing Address
First Line	:	25473 CANAL RD
Second Line	:	LOT#21
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-5812
Country	:	US
Telephone Number	:	251-223-3178
Fax Number	:

Provider Business Practice Location Address
First Line	:	25473 CANAL RD
Second Line	:	LOT#21
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-5812
Country	:	US
Telephone Number	:	251-223-3178
Fax Number	:

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	09/11/2025

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