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NPI Code Detail

MEDICARE: PRINCEWILL CHE

MEDICARE:   PRINCEWILL  CHE
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
1374U00000XHome Health Aide
2376K00000XNurse's Aide
3376J00000XHomemaker

General Provider Information

NPI Number : 1891536694
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRINCEWILL CHE
Provider Business Mailing Address
First Line : 6626 FOUNTAINS BLVD UNIT 5
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6118
Country : US
Telephone Number : 513-655-0345
Fax Number :
Provider Business Practice Location Address
First Line : 6626 FOUNTAINS BLVD UNIT 5
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6118
Country : US
Telephone Number : 513-655-0345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2024
Last Update Date : 06/05/2024

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Directions to “ PRINCEWILL CHE ” Practice Location

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