Organization
N/A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BORGES SISSON (OWNER)
(440) 444-5494
Entity
Organization
Contact information
Practice address
3051 ELYRIA AVE, LORAIN, OH 44055-1449
(440) 444-5494
Mailing address
3051 ELYRIA AVE, LORAIN, OH 44055-1449
(440) 444-5494
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
PN097617
OH
Other
Enumeration date
10/13/2015
Last updated
01/01/2016
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