MEDICARE: BRIANA D SCARBO

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1215542873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA D SCARBO

Provider Business Mailing Address
First Line	:	61295 VOCATIONAL RD
Second Line	:
City	:	CAMBRIDGE
State	:	OH
Zip	:	43725-9124
Country	:	US
Telephone Number	:	740-584-3175
Fax Number	:

Provider Business Practice Location Address
First Line	:	53272 FRY RD
Second Line	:
City	:	PLEASANT CITY
State	:	OH
Zip	:	43772-9620
Country	:	US
Telephone Number	:	740-685-0530
Fax Number	:

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

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/15/2020

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Directions to “ BRIANA D SCARBO ” Practice Location

Language	Start Address	Practice Location

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