MEDICARE: REBECCA GARABEDIAN

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	374U00000X	Home Health Aide
2	374U00000X	Home Health Aide		MA

General Provider Information

NPI Number	:	1891263364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA GARABEDIAN

Provider Business Mailing Address
First Line	:	520 PROVIDENCE HWY STE 4
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-4946
Country	:	US
Telephone Number	:	800-296-9962
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 PROVIDENCE HWY STE 4
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-4946
Country	:	US
Telephone Number	:	800-296-9962
Fax Number	:	781-222-4722

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

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	11/02/2018

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