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Organization
PACIFIC HOME CARE, LLC
Active
Organization
PACIFIC HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI A ALI (MANAGER)
(216) 396-5051
Entity
Organization
Contact information
Practice address
4713 W 130TH ST, CLEVELAND, OH 44135-3705
(216) 458-5756
(216) 812-1121
Mailing address
4713 W 130TH ST, CLEVELAND, OH 44135-3705
(216) 458-5756
(216) 812-1121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
201122200526
OH
Other
Enumeration date
08/11/2011
Last updated
10/06/2020
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