MEDICARE: MR. LEMUEL RELFORD

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1396317186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEMUEL RELFORD

Provider Business Mailing Address
First Line	:	210 CENTRAL CALDWOOD DR
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-1918
Country	:	US
Telephone Number	:	409-998-3319
Fax Number	:

Provider Business Practice Location Address
First Line	:	3122 WOODLAWN DR
Second Line	:
City	:	GROVES
State	:	TX
Zip	:	77619-2717
Country	:	US
Telephone Number	:	409-293-3707
Fax Number	:

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

Provider Enumeration Date	:	07/12/2021
Last Update Date	:	07/12/2021

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Directions to “ MR. LEMUEL RELFORD ” Practice Location

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