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Organization
WYANDOTTE HOME HEALTH CARE COMPANY
Active
Organization
WYANDOTTE HOME HEALTH CARE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDDIE AMMONS (ADMINISTRATOR)
(216) 583-9002
Entity
Organization
Contact information
Practice address
850 EUCLID AVE, SUITE 619, CLEVELAND, OH 44114-3306
(216) 583-9002
(216) 583-9003
Mailing address
850 EUCLID AVE STE 619, CLEVELAND, OH 44114-3311
(216) 583-9002
(216) 583-9003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
200425701928
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2704103
—
OH
01
—
OH03887
TEMPORARY PROVIDER NUMBER
OH
Enumeration date
10/19/2006
Last updated
11/10/2008
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