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NPI Code Detail

MEDICARE: JODY S TROYER

MEDICARE: JODY S TROYER
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 Agency06257OH

General Provider Information

NPI Number : 1184815250
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODY S TROYER
Provider Business Mailing Address
First Line : 4511 ROCKSIDE RD STE 330
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-2157
Country : US
Telephone Number : 216-901-0400
Fax Number :
Provider Business Practice Location Address
First Line : 4511 ROCKSIDE RD STE 330
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-2157
Country : US
Telephone Number : 216-901-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 08/05/2007

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Directions to “ JODY S TROYER ” Practice Location

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