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NPI Code Detail

MEDICARE: LORRI ANN ROLFS CAREGIVER

MEDICARE:   LORRI ANN ROLFS  CAREGIVER
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1437850070
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRI ANN ROLFS CAREGIVER
Provider Business Mailing Address
First Line : 410 W 15TH AVE
Second Line :
City : COAL VALLEY
State : IL
Zip : 61240-9328
Country : US
Telephone Number : 309-716-9152
Fax Number :
Provider Business Practice Location Address
First Line : 410 W 15TH AVE
Second Line :
City : COAL VALLEY
State : IL
Zip : 61240-9328
Country : US
Telephone Number : 309-716-9152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2023
Last Update Date : 05/08/2023

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Directions to “ LORRI ANN ROLFS CAREGIVER” Practice Location

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