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Organization
FAIRFAX PLACE AT HOME NM, LLC
Active
Organization
FAIRFAX PLACE AT HOME NM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY HERMAN EDWARDS JR. (DIRECTOR)
(216) 795-1363
Entity
Organization
Contact information
Practice address
9014 CEDAR AVE, CLEVELAND, OH 44106-2932
(216) 795-1363
(216) 795-8060
Mailing address
9014 CEDAR AVE, CLEVELAND, OH 44106-2932
(216) 795-1363
(216) 795-8060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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