MEDICARE: CARMEN MCCURDY

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1598128852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARMEN MCCURDY

Provider Business Mailing Address
First Line	:	1939 GREEN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-1159
Country	:	US
Telephone Number	:	216-205-2597
Fax Number	:

Provider Business Practice Location Address
First Line	:	1939 GREEN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-1159
Country	:	US
Telephone Number	:	216-205-2597
Fax Number	:

Authorized Official
Title or Position	:	DIRECT CAREGIVER
Name	:	MISS CARMEN L MC
Credential	:
Telephone Number	:	216-205-2597

Provider Enumeration Date	:	04/03/2016
Last Update Date	:	04/03/2016

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Directions to “CARMEN MCCURDY ” Practice Location

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