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1548390917
INDEPENDENTPROVIDER
CLEVELAND, OH
NPI
1548390917
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Entity Type
Organization
Authorized Contact
TAMEA NICOLE SCOTT
Homehealthaide
216-322-8018
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2007-03-06
Last Update Date
2020-08-22
Business Address
INDEPENDENTPROVIDER
11501 MAYFIELD RD
CLEVELAND, OH 44106-5942
Phone number: 216-231-9682
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Mailing Address
INDEPENDENTPROVIDER
2499 E 84TH ST
CLEVELAND, OH 44104-2207
Phone number: 216-322-8018
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