Organization
D.D.C.T. ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATASHIA R. GLOVER (OWNER)
(216) 324-0638
Entity
Organization
Contact information
Practice address
24455 LAKESHORE BLVD APT 423, EUCLID, OH 44123
(216) 324-0638
Mailing address
24455 LAKE SHORE BLVD APT 423, EUCLID, OH 44123-1247
(216) 324-0638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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