MEDICARE: MRS. CAITLYN DIANE MEEK

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
1	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770171340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAITLYN DIANE MEEK

Provider Business Mailing Address
First Line	:	5864 STARCREST DR
Second Line	:
City	:	GALLOWAY
State	:	OH
Zip	:	43119-9052
Country	:	US
Telephone Number	:	614-603-7160
Fax Number	:

Provider Business Practice Location Address
First Line	:	674 S WARREN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-2957
Country	:	US
Telephone Number	:	614-275-4084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2021
Last Update Date	:	01/08/2021

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