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NPI Code Detail

MEDICARE: MR PER COPY, LLC

MEDICARE: MR PER COPY, LLC
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
1251B00000XCase Management Agency
2251G00000XCommunity Based Hospice Care Agency
3253Z00000XIn Home Supportive Care Agency
4347E00000XTransportation Broker
5385H00000XRespite Care
6251E00000XHome Health Agency

General Provider Information

NPI Number : 1760134993
Entity Type Code : Organization
Provider Name (Legal Business Name) : MR PER COPY, LLC
Provider Business Mailing Address
First Line : 7950 HICKORY RIDGE CT
Second Line :
City : LEWIS CENTER
State : OH
Zip : 43035-9535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7950 HICKORY RIDGE CT
Second Line :
City : LEWIS CENTER
State : OH
Zip : 43035-9535
Country : US
Telephone Number : 614-332-1224
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : TERRELLE LEE WILLIAMS
Credential :
Telephone Number : 614-332-1224
Provider Enumeration Date : 01/19/2022
Last Update Date : 01/19/2022

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Directions to “MR PER COPY, LLC ” Practice Location

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