MEDICARE: JUQUITA GEORGE

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	376J00000X	Homemaker	1831969	OH

General Provider Information

NPI Number	:	1487332185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUQUITA GEORGE

Provider Business Mailing Address
First Line	:	1321 E 276TH ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-3080
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 E 276TH ST APT 10
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-3080
Country	:	US
Telephone Number	:	216-244-8797
Fax Number	:

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

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	07/11/2023

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Directions to “ JUQUITA GEORGE ” Practice Location

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