Organization
AGE LINE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA CHINEMEREM OKOROAFOR (MANAGING)
(216) 672-8981
Entity
Organization
Contact information
Practice address
4350 ROCKY RIVER DR, CLEVELAND, OH 44135-2504
(216) 672-8981
Mailing address
4350 ROCKY RIVER DR, CLEVELAND, OH 44135-2504
(216) 672-8981
(216) 941-6127
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2922672
—
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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