MEDICARE: LEATHA SAVAGE

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1932725926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEATHA SAVAGE

Provider Business Mailing Address
First Line	:	1792 COLE ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2526
Country	:	US
Telephone Number	:	614-371-2067
Fax Number	:

Provider Business Practice Location Address
First Line	:	4237 E BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1889
Country	:	US
Telephone Number	:	614-290-6514
Fax Number	:

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

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	06/25/2020

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Directions to “ LEATHA SAVAGE ” Practice Location

Language	Start Address	Practice Location

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