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Organization
MAPLE GROVE ENTERPRISES
Active
Organization
MAPLE GROVE ENTERPRISES
Active
Other names
FirstLight HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE SMITH (OWNER/PRESIDENT)
(440) 286-1342
Entity
Organization
Contact information
Practice address
119 MAIN ST, 2ND FLOOR, CHARDON, OH 44024-1231
(440) 286-1342
Mailing address
119 MAIN ST, 2ND FLOOR, CHARDON, OH 44024-1231
(440) 286-1342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470652467
PASSPORT
OH
Enumeration date
09/08/2011
Last updated
04/13/2016
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