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NPI Code Detail

MEDICARE: BERNICE MAY SPENCER

MEDICARE: BERNICE MAY SPENCER
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1457214462
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNICE MAY SPENCER
Provider Business Mailing Address
First Line : PO BOX 106
Second Line :
City : BRISTOLVILLE
State : OH
Zip : 44402-0106
Country : US
Telephone Number : 928-377-0300
Fax Number : 234-223-2244
Provider Business Practice Location Address
First Line : 931 PARK PL
Second Line :
City : NILES
State : OH
Zip : 44446-3556
Country : US
Telephone Number : 330-544-1951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ BERNICE MAY SPENCER ” Practice Location

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