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Organization
GREAT LAKES SENIOR HOME CARE
Active
Organization
GREAT LAKES SENIOR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSMAN ISSA (ADMINISTRATOR)
(614) 598-1272
Entity
Organization
Contact information
Practice address
17325 EUCLID AVE STE 4081, CLEVELAND, OH 44112-1277
(614) 598-1272
Mailing address
17325 EUCLID AVE STE 4081, CLEVELAND, OH 44112-1277
(614) 598-1272
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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