MEDICARE: MISS LESLIE E HOWARD RN

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	163WH0200X	Home Health Registered Nurse	RN-196840	OH

General Provider Information

NPI Number	:	1295174787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LESLIE E HOWARD RN

Provider Business Mailing Address
First Line	:	540 E 105TH ST STE 310
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-4301
Country	:	US
Telephone Number	:	216-761-1000
Fax Number	:	216-761-1004

Provider Business Practice Location Address
First Line	:	540 E 105TH ST STE 310
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-4301
Country	:	US
Telephone Number	:	216-761-1000
Fax Number	:	216-761-1004

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

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	06/18/2013

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