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Organization
CLUB GREEN CORPORATION
Active
Organization
CLUB GREEN CORPORATION
Active
Other names
Club Green, Better Care Provider Network
Organization subpart
No
Provider details
NPI number
Authorized official
NADIR HAZLY (EXECUTIVE DIRECTOR)
(216) 647-1162
Entity
Organization
Contact information
Practice address
190 N UNION ST STE 303, AKRON, OH 44304-1362
(330) 400-4310
Mailing address
190 N UNION ST STE 303, AKRON, OH 44304-1362
(330) 400-4310
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/10/2024
Last updated
06/04/2026
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