MEDICARE: MARY FRANCES HOOKS INDEPENDENT PROVIDER

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	376K00000X	Nurse's Aide	402011661017	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1720569296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY FRANCES HOOKS INDEPENDENT PROVIDER

Provider Business Mailing Address
First Line	:	1885 TAYLOR RD APT 401
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-2868
Country	:	US
Telephone Number	:	216-307-0244
Fax Number	:	216-273-7119

Provider Business Practice Location Address
First Line	:	1885 TAYLOR RD APT 401
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-2868
Country	:	US
Telephone Number	:	216-307-0244
Fax Number	:	216-273-7119

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

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	08/23/2018

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