MEDICARE: NARRAH SHARP

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	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1679936421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NARRAH SHARP

Provider Business Mailing Address
First Line	:	569 E 110TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1402
Country	:	US
Telephone Number	:	216-769-3722
Fax Number	:

Provider Business Practice Location Address
First Line	:	569 E 110TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1402
Country	:	US
Telephone Number	:	216-769-3722
Fax Number	:

Authorized Official
Title or Position	:	NON AGENCY HOME HEALTH AID
Name	:	NARRAH SHARP
Credential	:
Telephone Number	:	216-769-3722

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	03/30/2016

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