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NPI Code Detail

MEDICARE: MRS. SHERAIN BRUCE CAREGIVER

MEDICARE: MRS. SHERAIN BRUCE CAREGIVER
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
1225X00000XOccupational TherapistOT006740GA
23747P1801XPersonal Care AttendantWV

General Provider Information

NPI Number : 1699275198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERAIN BRUCE CAREGIVER
Provider Business Mailing Address
First Line : PO BOX 692
Second Line :
City : OAK HILL
State : WV
Zip : 25901-0692
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2327 N HIGHWAY 27
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-6701
Country : US
Telephone Number : 770-834-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2018
Last Update Date : 02/20/2026

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