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NPI Code Detail

MEDICARE: MARISOL COMPANIONI

MEDICARE:   MARISOL  COMPANIONI
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336697572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISOL COMPANIONI
Provider Business Mailing Address
First Line : 15616 BARBARA AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-1328
Country : US
Telephone Number : 216-820-5628
Fax Number :
Provider Business Practice Location Address
First Line : 15616 BARBARA AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-1328
Country : US
Telephone Number : 216-820-5628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2016
Last Update Date : 09/16/2016

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Directions to “ MARISOL COMPANIONI ” Practice Location

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