MEDICARE: SAVANNA CHERIE FARKAS

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	374J00000X	Doula

General Provider Information

NPI Number	:	1407735962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNA CHERIE FARKAS

Provider Business Mailing Address
First Line	:	116 EDGEWOOD ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1808
Country	:	US
Telephone Number	:	269-986-4745
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 EDGEWOOD ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1808
Country	:	US
Telephone Number	:	269-986-4745
Fax Number	:

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

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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Directions to “ SAVANNA CHERIE FARKAS ” Practice Location

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