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Organization
JEWISH FAMILY SERVICE ASSOCIATION
Active
Organization
JEWISH FAMILY SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HLAVAC (CFO / V.P.)
(216) 504-6408
Entity
Organization
Contact information
Practice address
29125 CHAGRIN BLVD, PEPPER PIKE, OH 44122-4622
(216) 292-3999
(216) 916-9126
Mailing address
29125 CHAGRIN BLVD., PEPPER PIKE, OH 44122-4622
(216) 504-6476
(216) 916-9147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
367770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2230544
—
OH
Enumeration date
03/14/2007
Last updated
03/20/2023
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