MEDICARE: ERICA REEVES

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
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1477157337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA REEVES

Provider Business Mailing Address
First Line	:	1835 AGLER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4401
Country	:	US
Telephone Number	:	614-377-4551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 AGLER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4401
Country	:	US
Telephone Number	:	614-377-4551
Fax Number	:

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

Provider Enumeration Date	:	11/22/2020
Last Update Date	:	11/22/2020

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Directions to “ ERICA REEVES ” Practice Location

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