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NPI Code Detail

MEDICARE: MELROSE PLACE

MEDICARE: MELROSE PLACE
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 : 1871489617
Entity Type Code : Organization
Provider Name (Legal Business Name) : MELROSE PLACE
Provider Business Mailing Address
First Line : 3691 LEE RD STE 101
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-5145
Country : US
Telephone Number : 216-801-0769
Fax Number :
Provider Business Practice Location Address
First Line : 3691 LEE RD STE 101
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-5145
Country : US
Telephone Number : 216-801-0769
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAZEMEN LYONS
Credential :
Telephone Number : 216-801-0769
Provider Enumeration Date : 06/17/2025
Last Update Date : 06/17/2025

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Directions to “MELROSE PLACE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.