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NPI Code Detail

MEDICARE: TYWANNA BATTLE

MEDICARE:   TYWANNA  BATTLE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1386237162
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYWANNA BATTLE
Provider Business Mailing Address
First Line : 3586 LUDGATE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5008
Country : US
Telephone Number : 216-659-2407
Fax Number :
Provider Business Practice Location Address
First Line : 26055 EMERY RD STE G
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-6211
Country : US
Telephone Number : 216-342-4445
Fax Number : 216-342-4443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2021
Last Update Date : 02/12/2021

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Directions to “ TYWANNA BATTLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.