MEDICARE: ALTHEA G BUFFORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	385H00000X	Respite Care
3	3747P1801X	Personal Care Attendant
4	376J00000X	Homemaker

General Provider Information

NPI Number	:	1568251833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALTHEA G BUFFORD

Provider Business Mailing Address
First Line	:	4028 E 53RD ST APT 4
Second Line	:
City	:	NEWBURGH HEIGHTS
State	:	OH
Zip	:	44105-4881
Country	:	US
Telephone Number	:	864-363-9611
Fax Number	:

Provider Business Practice Location Address
First Line	:	4028 E 53RD ST APT 4
Second Line	:
City	:	NEWBURGH HEIGHTS
State	:	OH
Zip	:	44105-4881
Country	:	US
Telephone Number	:	864-363-9611
Fax Number	:

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

Provider Enumeration Date	:	05/03/2025
Last Update Date	:	05/03/2025

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Directions to “ ALTHEA G BUFFORD ” Practice Location

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