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Organization
HAVEN OF HOPE ADULT FAMILY HOME LLC
Active
Organization
HAVEN OF HOPE ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RANDALENE NICHOLE PORCH (OWNER)
(216) 926-9243
Entity
Organization
Contact information
Practice address
428 E 123RD ST, CLEVELAND, OH 44108-1704
(216) 926-9243
Mailing address
3474 TULLAMORE RD, CLEVELAND HEIGHTS, OH 44118-3019
(216) 926-9243
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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