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NPI Code Detail

MEDICARE: AMBER MARIE COLBERT STNA

MEDICARE:   AMBER MARIE COLBERT  STNA
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 Agency

General Provider Information

NPI Number : 1629686662
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER MARIE COLBERT STNA
Provider Business Mailing Address
First Line : 12425 VASHTI AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-1830
Country : US
Telephone Number : 216-235-7212
Fax Number :
Provider Business Practice Location Address
First Line : 12425 VASHTI AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-1830
Country : US
Telephone Number : 216-235-7212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2020
Last Update Date : 07/15/2020

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Directions to “ AMBER MARIE COLBERT STNA” Practice Location

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