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NPI Code Detail

MEDICARE: AMBER WEAVER HOME HEALTH AIDE

MEDICARE: AMBER WEAVER HOME HEALTH AIDE
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 : 1326602830
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER WEAVER HOME HEALTH AIDE
Provider Business Mailing Address
First Line : 4455 BIMINI DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-5120
Country : US
Telephone Number : 907-617-0333
Fax Number :
Provider Business Practice Location Address
First Line : 4455 BIMINI DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-5120
Country : US
Telephone Number : 907-617-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2019
Last Update Date : 04/30/2019

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Directions to “ AMBER WEAVER HOME HEALTH AIDE” Practice Location

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