MEDICARE: PARIS A COLE

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1609389360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARIS A COLE

Provider Business Mailing Address
First Line	:	546 E 109TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1469
Country	:	US
Telephone Number	:	216-387-7149
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 E 109TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1469
Country	:	US
Telephone Number	:	216-387-7149
Fax Number	:

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

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	11/15/2017

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Directions to “ PARIS A COLE ” Practice Location

Language	Start Address	Practice Location

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