NPI | 1598151904 |
---|---|
Former Legal Business Name | DUST BUSTERS HOMECARE |
Entity Type | Organization |
Authorized Contact | TRONA DAVIS 0wner 216-456-0306 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: OH 302f00000x) |
305R00000X Preferred Provider Organization (Licence: 305R00000x) | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2022-07-21 |