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NPI Code Detail

MEDICARE: WILLIAM JOSEPH SANTOS

MEDICARE:   WILLIAM JOSEPH SANTOS
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
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174291397
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JOSEPH SANTOS
Provider Business Mailing Address
First Line : 2023 W 89TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-3817
Country : US
Telephone Number : 216-577-7920
Fax Number :
Provider Business Practice Location Address
First Line : 2023 W 89TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-3817
Country : US
Telephone Number : 216-577-7920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

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Directions to “ WILLIAM JOSEPH SANTOS ” Practice Location

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