MEDICARE: JOSE ALFREDO CARO

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	372600000X	Adult Companion
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1891476156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE ALFREDO CARO

Provider Business Mailing Address
First Line	:	5241 E 104TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2407
Country	:	US
Telephone Number	:	121-652-6247
Fax Number	:

Provider Business Practice Location Address
First Line	:	5241 E 104TH ST
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2407
Country	:	US
Telephone Number	:	216-526-2478
Fax Number	:

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

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	07/28/2023

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Directions to “ JOSE ALFREDO CARO ” Practice Location

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