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Organization
SAFEWAY PROVIDERS LLC
Active
Organization
SAFEWAY PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN JEFFERSON (OWNER/DOO)
(216) 562-8122
Entity
Organization
Contact information
Practice address
20711 HARVARD AVE, WARRENSVILLE, OH 44122
(216) 513-6264
Mailing address
20711 HARVARD AVE, WARRENSVILLE, OH 44122
(216) 513-6264
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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