Organization
WESTCHESTER HOUSE ADULT FAMILY HOME LLC
Active
Parent organization
WESTCHESTER HOUSE ADULT FAMILY HOME LLC
Other names
Westchester House Transportation Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTCHESTER HOUSE ADULT FAMILY HOME LLC
Authorized official
MS. TERESA LAFAYE WAKEFIELD (OWNER)
(216) 772-5450
Entity
Organization
Contact information
Practice address
10305 WESTCHESTER AVE, CLEVELAND, OH 44108-3461
(216) 772-5450
(216) 649-0665
Mailing address
10305 WESTCHESTER AVE, CLEVELAND, OH 44108-3461
(216) 772-5450
(216) 649-0665
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
180795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065146
—
OH
Enumeration date
03/12/2018
Last updated
06/16/2018
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