MEDICARE: ASHLEY JORDAN DILLINGER

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	3747P1801X	Personal Care Attendant	3747P1801X	OH

General Provider Information

NPI Number	:	1427811157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY JORDAN DILLINGER

Provider Business Mailing Address
First Line	:	1366 DOTY DR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-4168
Country	:	US
Telephone Number	:	330-819-3684
Fax Number	:

Provider Business Practice Location Address
First Line	:	1366 DOTY DR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-4168
Country	:	US
Telephone Number	:	330-819-3684
Fax Number	:

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

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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Directions to “ ASHLEY JORDAN DILLINGER ” Practice Location

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