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NPI Code Detail

MEDICARE: SHALON'S CARING HANDS

MEDICARE: SHALON'S CARING HANDS
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1378210550599OTHEROHOHIO DEPARTMENT OF HEALTH

General Provider Information

NPI Number : 1144745019
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHALON'S CARING HANDS
Provider Business Mailing Address
First Line : 2205 JACKSON BLVD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118
Country : US
Telephone Number : 12165277293
Fax Number :
Provider Business Practice Location Address
First Line : 2205 JACKSON BLVD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4411
Country : US
Telephone Number : 216-527-7293
Fax Number :
Authorized Official
Title or Position : STNA/OWNER
Name : MRS. SHALON KATRICE WINDETH
Credential :
Telephone Number : 216-527-7293
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “SHALON'S CARING HANDS ” Practice Location

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