MEDICARE: MS. CAITLIN E EGRI

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	:	1942583067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAITLIN E EGRI

Provider Business Mailing Address
First Line	:	71844 TENRACK DRIVE
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9600
Country	:	US
Telephone Number	:	740-695-9306
Fax Number	:	740-968-2996

Provider Business Practice Location Address
First Line	:	71844 TENRACH DR
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-7306
Country	:	US
Telephone Number	:	740-695-9306
Fax Number	:	740-968-2996

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

Provider Enumeration Date	:	09/25/2011
Last Update Date	:	08/25/2016

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