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NPI Code Detail

MEDICARE: MARK ALLEN CUMBERLAND

MEDICARE:   MARK ALLEN CUMBERLAND
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 : 1497133250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ALLEN CUMBERLAND
Provider Business Mailing Address
First Line : 24385 DEER CREEK DR
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1786
Country : US
Telephone Number : 734-925-3584
Fax Number :
Provider Business Practice Location Address
First Line : 24385 DEER CREEK DR
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1786
Country : US
Telephone Number : 734-925-3584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2015
Last Update Date : 05/13/2015

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Directions to “ MARK ALLEN CUMBERLAND ” Practice Location

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