MEDICARE: HARRIET SARRAH MONROE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	374U00000X	Home Health Aide
3	376J00000X	Homemaker
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1790590065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRIET SARRAH MONROE

Provider Business Mailing Address
First Line	:	4759 E 175TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-3931
Country	:	US
Telephone Number	:	216-640-6284
Fax Number	:

Provider Business Practice Location Address
First Line	:	4759 E 175TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-3931
Country	:	US
Telephone Number	:	216-640-6284
Fax Number	:

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

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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Directions to “ HARRIET SARRAH MONROE ” Practice Location

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