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NPI Code Detail

MEDICARE: ACCESS PROVIDER SERVICES LLC

MEDICARE: ACCESS PROVIDER SERVICES LLC
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
1253Z00000XIn Home Supportive Care AgencyOH

General Provider Information

NPI Number : 1538564646
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS PROVIDER SERVICES LLC
Provider Business Mailing Address
First Line : 4509 RENAISSANCE PKWY
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5701
Country : US
Telephone Number : 216-571-0086
Fax Number :
Provider Business Practice Location Address
First Line : 4509 RENAISSANCE PKWY
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5701
Country : US
Telephone Number : 216-571-0086
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LESLIE SNAVELY
Credential :
Telephone Number : 216-571-0086
Provider Enumeration Date : 10/31/2014
Last Update Date : 10/31/2014

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Directions to “ACCESS PROVIDER SERVICES LLC ” Practice Location

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