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Organization
CHAMPION PROVIDERS LLC
Active
Organization
CHAMPION PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE DENNIS SR. (DOO)
(216) 952-1700
Entity
Organization
Contact information
Practice address
1793 LONGWOOD DR, MAYFIELD HTS, OH 44124-3009
(216) 952-1700
(216) 952-1700
Mailing address
1793 LONGWOOD DR, MAYFIELD HTS, OH 44124-3009
(216) 952-1700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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