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NPI Code Detail

MEDICARE: STEFFANIE ROSE JEWELL-GENS

MEDICARE:   STEFFANIE ROSE JEWELL-GENS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1770075095
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFFANIE ROSE JEWELL-GENS
Provider Business Mailing Address
First Line : 2042 HIGH ST
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-4146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2042 HIGH STREET
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221
Country : US
Telephone Number : 330-289-5877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2018
Last Update Date : 06/01/2018

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Directions to “ STEFFANIE ROSE JEWELL-GENS ” Practice Location

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