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Organization
MOUNTAINEER HOME HEALTHCARE AGENCY, LLC
Active
Organization
MOUNTAINEER HOME HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETHEL AUGUSTUS (CEO)
(216) 799-6689
Entity
Organization
Contact information
Practice address
4614 PROSPECT AVE, 421, CLEVELAND, OH 44103-4394
(216) 881-5588
(216) 881-5995
Mailing address
4614 PROSPECT AVE, 421, CLEVELAND, OH 44103-4394
(216) 881-5588
(216) 881-5995
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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