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NPI Code Detail

MEDICARE: ANDREA YOUNG

MEDICARE: ANDREA YOUNG
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
13747P1801XPersonal Care AttendantOH

General Provider Information

NPI Number : 1619748324
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA YOUNG
Provider Business Mailing Address
First Line : 16104 SCOTTSDALE BLVD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5037
Country : US
Telephone Number : 216-310-6160
Fax Number : 216-586-6607
Provider Business Practice Location Address
First Line : 16104 SCOTTSDALE BLVD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5037
Country : US
Telephone Number : 216-310-6160
Fax Number : 216-586-6607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2024
Last Update Date : 01/11/2024

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Directions to “ ANDREA YOUNG ” Practice Location

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