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Organization
NIA HOMECARE LLC
Active
Organization
NIA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACIE LEE (CEO/OWNER)
(216) 220-8881
Entity
Organization
Contact information
Practice address
16004 BROADWAY AVE, SUITE 103, MAPLE HEIGHTS, OH 44137-2575
(216) 220-8881
(216) 220-8882
Mailing address
16004 BROADWAY AVE, SUITE 103, MAPLE HEIGHTS, OH 44137-2575
(216) 220-8881
(216) 220-8882
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/07/2012
Last updated
05/15/2012
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