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Organization
DEVINS PLACE
Active
Organization
DEVINS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA CROWE RN, EFM, ACLS (OPERATOR)
(216) 868-6641
Entity
Organization
Contact information
Practice address
4396 AMMON RD, CLEVELAND, OH 44143-2804
(216) 868-6641
Mailing address
4396 AMMON RD, CLEVELAND, OH 44143-2804
(216) 868-6641
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/14/2024
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