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NPI Code Detail

MEDICARE: MAJESTIC STELLA TWYMAN

MEDICARE: MAJESTIC STELLA TWYMAN
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerS.2410348OH

General Provider Information

NPI Number : 1720578149
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAJESTIC STELLA TWYMAN
Provider Business Mailing Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-8100
Country : US
Telephone Number : 330-673-1347
Fax Number : 330-678-3677
Provider Business Practice Location Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-8100
Country : US
Telephone Number : 330-673-1347
Fax Number : 330-678-3677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2018
Last Update Date : 12/02/2025

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Directions to “ MAJESTIC STELLA TWYMAN ” Practice Location

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