MEDICARE: DELLA FARMER

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

General Provider Information

NPI Number	:	1922826569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELLA FARMER

Provider Business Mailing Address
First Line	:	475 TAFT AVE
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-3831
Country	:	US
Telephone Number	:	216-339-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	2641 AURORA RD
Second Line	:	LOT 65
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146
Country	:	US
Telephone Number	:	216-339-1118
Fax Number	:

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

Provider Enumeration Date	:	10/02/2024
Last Update Date	:	10/02/2024

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Directions to “ DELLA FARMER ” Practice Location

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