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NPI Code Detail

MEDICARE: MAKAYLA DAWN ROUSH

MEDICARE: MAKAYLA DAWN ROUSH
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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1164380879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAYLA DAWN ROUSH
Provider Business Mailing Address
First Line : 551 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3809
Country : US
Telephone Number : 740-863-7898
Fax Number :
Provider Business Practice Location Address
First Line : 551 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3809
Country : US
Telephone Number : 740-863-7898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ MAKAYLA DAWN ROUSH ” Practice Location

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