Organization
HAVEN OF HOPE ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RANDALENE NICHOLE PORCH (OWNER)
(216) 926-9243
Entity
Organization
Contact information
Practice address
428 E 123RD ST, CLEVELAND, OH 44108-1704
(216) 926-9243
Mailing address
3474 TULLAMORE RD, CLEVELAND HEIGHTS, OH 44118-3019
(216) 926-9243
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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