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Organization

CLEVELAND FUNERAL HOME, INC.

Active
Other names
Cleveland Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LYNN S. CLEVELAND (PRESIDENT)
(315) 788-6180
Entity
Organization

Contact information

Practice address
404 SHERMAN ST, WATERTOWN, NY 13601-3947
(315) 788-6180
(315) 785-1905
Mailing address
404 SHERMAN ST, WATERTOWN, NY 13601-3947
(315) 788-6180
(315) 785-1905

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
02103051
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02103051
NY
Enumeration date
01/22/2007
Last updated
08/22/2020
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