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NPI Code Detail

MEDICARE: MRS. JANET MAY TERRELL CNA/RMA

MEDICARE:  MRS. JANET MAY TERRELL  CNA/RMA
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
1374U00000XHome Health Aide64847FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639478902
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET MAY TERRELL CNA/RMA
Provider Business Mailing Address
First Line : 2930 OKEECHOBEE BLVD STE 103
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-4051
Country : US
Telephone Number : 561-674-3875
Fax Number : 561-615-4409
Provider Business Practice Location Address
First Line : 4715 MARGUERITA DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-3035
Country : US
Telephone Number : 561-674-3875
Fax Number : 561-615-4409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 03/25/2011

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Directions to “ MRS. JANET MAY TERRELL CNA/RMA” Practice Location

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