MEDICARE: NAWAL NAGEEB ANTOON

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528745353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAWAL NAGEEB ANTOON

Provider Business Mailing Address
First Line	:	43119 WINTERFIELD DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-1864
Country	:	US
Telephone Number	:	248-302-4482
Fax Number	:

Provider Business Practice Location Address
First Line	:	43119 WINTERFIELD DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-1864
Country	:	US
Telephone Number	:	248-302-4482
Fax Number	:

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

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	07/03/2023

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Directions to “ NAWAL NAGEEB ANTOON ” Practice Location

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