MEDICARE: BETH A BELL

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1891381190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH A BELL

Provider Business Mailing Address
First Line	:	205 HICKORY GROVE DR
Second Line	:
City	:	ARLINGTON
State	:	OH
Zip	:	45814-9678
Country	:	US
Telephone Number	:	419-348-5978
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 HICKORY GROVE DR
Second Line	:
City	:	ARLINGTON
State	:	OH
Zip	:	45814-9678
Country	:	US
Telephone Number	:	419-348-5978
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	12/21/2020

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Directions to “ BETH A BELL ” Practice Location

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