Organization
EXECUTIVE LIVING HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON J WILLIAMS (OWNER)
(216) 401-9286
Entity
Organization
Contact information
Practice address
14055 CEDAR RD STE 302, SOUTH EUCLID, OH 44118-3333
(440) 945-6426
(440) 658-9419
Mailing address
7743 REGENCY DR, WALTON HILLS, OH 44146-5371
(440) 945-6426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/30/2020
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