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NPI Code Detail

MEDICARE: JENNIFER HEARD

MEDICARE: JENNIFER HEARD
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
13747P1801XPersonal Care Attendant
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1730734781
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HEARD
Provider Business Mailing Address
First Line : 19306 SHAKERWOOD RD
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44122-6608
Country : US
Telephone Number : 216-688-8011
Fax Number :
Provider Business Practice Location Address
First Line : 25701 N LAKELAND BLVD STE 403
Second Line :
City : EUCLID
State : OH
Zip : 44132-2453
Country : US
Telephone Number : 216-273-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2019
Last Update Date : 12/30/2024

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Directions to “ JENNIFER HEARD ” Practice Location

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