MEDICARE: KURI LEMMA

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	311ZA0620X	Adult Care Home Facility	2540987	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2540987	OTHER	OH	PROVIDER NUMBER

General Provider Information

NPI Number	:	1184010894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KURI LEMMA

Provider Business Mailing Address
First Line	:	550 S HAMILTON RD APT B
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-3170
Country	:	US
Telephone Number	:	614-377-7257
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 S HAMILTON RD APT B
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-3170
Country	:	US
Telephone Number	:	614-377-7257
Fax Number	:

Authorized Official
Title or Position	:	HOME HEALTH AIDE
Name	:	KURI TEKA LEMMA
Credential	:
Telephone Number	:	614-377-7257

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	04/09/2015

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Directions to “KURI LEMMA ” Practice Location

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