Organization
JUBILEE HEALTHCARE, LLC
Active
Other names
NorthShore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A MOWRER (CREDENTIALING)
(440) 895-5056
Entity
Organization
Contact information
Practice address
13170 RAVENNA RD STE 200, CHARDON, OH 44024-7022
(844) 542-6363
(216) 455-1810
Mailing address
24651 CENTER RIDGE RD STE 350, WESTLAKE, OH 44145-5627
(440) 895-5056
(440) 895-5050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192836
—
OH
Enumeration date
05/24/2018
Last updated
06/16/2018
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