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Organization
LAKE SUPERIOR HOME HEALTH CARE L.L.C.
Active
Organization
LAKE SUPERIOR HOME HEALTH CARE L.L.C.
Active
Other names
home health services
Organization subpart
No
Provider details
NPI number
Authorized official
HAYAT FATAH (OWNER)
(614) 717-5667
Entity
Organization
Contact information
Practice address
2490 LEE BLVD STE 216, CLEVELAND HEIGHTS, OH 44118-1269
(614) 717-5667
Mailing address
2490 LEE BLVD STE 216, CLEVELAND HEIGHTS, OH 44118-1269
(614) 717-5667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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