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NPI Code Detail

MEDICARE: CAPRISHA WARREN

MEDICARE:   CAPRISHA  WARREN
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1326585738
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAPRISHA WARREN
Provider Business Mailing Address
First Line : 125 TOWNPARK DR NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-5803
Country : US
Telephone Number : 404-474-8777
Fax Number :
Provider Business Practice Location Address
First Line : 126 ENTERPRISE PATH STE 102
Second Line :
City : HIRAM
State : GA
Zip : 30141-2655
Country : US
Telephone Number : 470-305-1490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2017
Last Update Date : 09/03/2019

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Directions to “ CAPRISHA WARREN ” Practice Location

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