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NPI Code Detail

MEDICARE: MS. LUJUANA MARIE HIXSON HOME HEALTH AIDE

MEDICARE: MS. LUJUANA MARIE HIXSON HOME HEALTH AIDE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1760143119
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUJUANA MARIE HIXSON HOME HEALTH AIDE
Provider Business Mailing Address
First Line : 4354 OUTHWAITE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-1376
Country : US
Telephone Number : 216-562-8484
Fax Number :
Provider Business Practice Location Address
First Line : 4354 OUTHWAITE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-1376
Country : US
Telephone Number : 216-562-8484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2022
Last Update Date : 01/07/2022

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