MEDICARE: JABARI SHERMAN

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154185072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JABARI SHERMAN

Provider Business Mailing Address
First Line	:	20517 HILLGROVE AVE
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-2057
Country	:	US
Telephone Number	:	216-973-1117
Fax Number	:

Provider Business Practice Location Address
First Line	:	5741 SOUTH BLVD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-3432
Country	:	US
Telephone Number	:	216-973-1117
Fax Number	:

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

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

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Directions to “ JABARI SHERMAN ” Practice Location

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