MEDICARE: MISS SHEREECE MICHELLE CURGES

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	374U00000X	Home Health Aide	400820351008	OH

General Provider Information

NPI Number	:	1487997136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SHEREECE MICHELLE CURGES

Provider Business Mailing Address
First Line	:	13301 DARLEY AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-2177
Country	:	US
Telephone Number	:	216-255-8543
Fax Number	:

Provider Business Practice Location Address
First Line	:	13301 DARLEY AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-2177
Country	:	US
Telephone Number	:	216-255-8543
Fax Number	:

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

Provider Enumeration Date	:	04/01/2013
Last Update Date	:	04/01/2013

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