MEDICARE: JAMES LAWRN ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	372500000X	Chore Provider
3	372600000X	Adult Companion
4	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1326679697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES LAWRN ADAMS

Provider Business Mailing Address
First Line	:	4445 MERRY LN
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-6034
Country	:	US
Telephone Number	:	419-508-8919
Fax Number	:

Provider Business Practice Location Address
First Line	:	4445 MERRY LN
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-6034
Country	:	US
Telephone Number	:	419-508-8919
Fax Number	:

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

Provider Enumeration Date	:	01/27/2020
Last Update Date	:	03/04/2020

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