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Organization
LIVING ANCESTOR HOME CARE, LLC
Active
Organization
LIVING ANCESTOR HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISE JONES MSW (MANAGER)
(216) 220-7856
Entity
Organization
Contact information
Practice address
10901 MASSIE AVE, CLEVELAND, OH 44108-3655
(216) 220-7856
Mailing address
10901 MASSIE AVE, CLEVELAND, OH 44108-3655
(216) 220-7856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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