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NPI Code Detail

MEDICARE: JAMIE LEE RECKELHOFF

MEDICARE:   JAMIE LEE RECKELHOFF
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1275920738
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LEE RECKELHOFF
Provider Business Mailing Address
First Line : 2609 MONETTE CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2831
Country : US
Telephone Number : 513-557-6702
Fax Number :
Provider Business Practice Location Address
First Line : 2609 MONETTE CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2831
Country : US
Telephone Number : 513-557-6702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2015
Last Update Date : 04/22/2015

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Directions to “ JAMIE LEE RECKELHOFF ” Practice Location

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