MEDICARE: WANYAH MAYFIELD

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1265731129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WANYAH MAYFIELD

Provider Business Mailing Address
First Line	:	6005 FLEET AVE STE 102
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-3407
Country	:	US
Telephone Number	:	216-223-8723
Fax Number	:	844-325-0445

Provider Business Practice Location Address
First Line	:	6005 FLEET AVE STE 102
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-3407
Country	:	US
Telephone Number	:	216-223-8723
Fax Number	:	844-325-0445

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

Provider Enumeration Date	:	03/17/2011
Last Update Date	:	06/25/2024

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Directions to “ WANYAH MAYFIELD ” Practice Location

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