Organization
JUBILEE HEALTHCARE, LLC
Active
Other names
North Shore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA TONN-KNOPF (EXECUTIVE DIRECTOR)
(440) 315-8896
Entity
Organization
Contact information
Practice address
32730 WALKER RD STE J, AVON LAKE, OH 44012-4100
(440) 455-3080
(440) 653-9670
Mailing address
32730 WALKER RD STE J, AVON LAKE, OH 44012-4100
(440) 455-3080
(440) 653-9670
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
08/02/2017
Last updated
07/21/2022
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