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NPI Code Detail

MEDICARE: ANYTHING FOR MOM AND POP LLC

MEDICARE: ANYTHING FOR MOM AND POP LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1457139693
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANYTHING FOR MOM AND POP LLC
Provider Business Mailing Address
First Line : 242 MAIN ST # 253
Second Line :
City : BEACON
State : NY
Zip : 12508-2732
Country : US
Telephone Number : 845-401-2909
Fax Number :
Provider Business Practice Location Address
First Line : 242 MAIN ST # 253
Second Line :
City : BEACON
State : NY
Zip : 12508-2732
Country : US
Telephone Number : 845-401-2909
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : C'JOLI F JOHNSON
Credential :
Telephone Number : 845-401-2909
Provider Enumeration Date : 09/19/2023
Last Update Date : 09/19/2023

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Directions to “ANYTHING FOR MOM AND POP LLC ” 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.