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Organization

RESTORING LIVES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMIN BLUE LPN (MANAGER)
(216) 924-0920
Entity
Organization

Contact information

Practice address
6150 ENTERPRISE PKWY STE 115, SOLON, OH 44139-2755
(216) 924-0920
Mailing address
6015 SWEET BIRCH DR, BEDFORD HEIGHTS, OH 44146-3073
(216) 924-0920

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
261QA0600X
Adult Day Care Clinic/Center
310400000X
Assisted Living Facility
343900000X
Non-emergency Medical Transport (VAN)
Primary
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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