MEDICARE: MISS EILEEN W FLEMINGS

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	253Z00000X	In Home Supportive Care Agency	SL60125	OH

General Provider Information

NPI Number	:	1225519150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS EILEEN W FLEMINGS

Provider Business Mailing Address
First Line	:	2164 16TH ST SW
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44314-2340
Country	:	US
Telephone Number	:	216-414-3730
Fax Number	:

Provider Business Practice Location Address
First Line	:	2164 16TH ST SW
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44314-2340
Country	:	US
Telephone Number	:	216-414-3730
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	08/28/2018

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Directions to “ MISS EILEEN W FLEMINGS ” Practice Location

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