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Organization
FAIRFAX PLACE AT HOME
Active
Organization
FAIRFAX PLACE AT HOME
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
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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