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NPI Code Detail

MEDICARE: CHRISTINE M CEPHAS

MEDICARE: CHRISTINE M CEPHAS
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 Aide

General Provider Information

NPI Number : 1669202826
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE M CEPHAS
Provider Business Mailing Address
First Line : 3205 OAK RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1849
Country : US
Telephone Number : 708-830-1102
Fax Number :
Provider Business Practice Location Address
First Line : 3205 OAK RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1849
Country : US
Telephone Number : 708-830-1102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2024
Last Update Date : 08/04/2024

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Directions to “ CHRISTINE M CEPHAS ” Practice Location

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