MEDICARE: BECKY PARSON

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912765967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BECKY PARSON

Provider Business Mailing Address
First Line	:	6010 LOUISVILLE ST
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-9484
Country	:	US
Telephone Number	:	330-685-7851
Fax Number	:

Provider Business Practice Location Address
First Line	:	2321 ENERGY DRIVE
Second Line	:	SECOND FLOOR SUITE 267
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-9173
Country	:	US
Telephone Number	:	330-428-7577
Fax Number	:

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

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	03/13/2024

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Directions to “ BECKY PARSON ” Practice Location

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