MEDICARE: TANA J SCALES

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	:	1629757133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANA J SCALES

Provider Business Mailing Address
First Line	:	1813 STEPHANIE LN
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-4526
Country	:	US
Telephone Number	:	330-571-9956
Fax Number	:

Provider Business Practice Location Address
First Line	:	1813 STEPHANIE LN
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-4526
Country	:	US
Telephone Number	:	330-571-9956
Fax Number	:

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

Provider Enumeration Date	:	07/12/2023
Last Update Date	:	07/12/2023

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Directions to “ TANA J SCALES ” Practice Location

Language	Start Address	Practice Location

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