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Organization

GENERATION2JENERATION

Active
Other names
T's Respite Care
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA M SMILEY CHW (OWNER)
(440) 538-4564
Entity
Organization

Contact information

Practice address
9209 GRAND DIVISION AVE, CLEVELAND, OH 44125-1353
(440) 538-4564
Mailing address
9209 GRAND DIVISION AVE, CLEVELAND, OH 44125-1353
(440) 538-4564

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
385HR2050X
Respite Care Camp

Other

Enumeration date
06/22/2024
Last updated
06/22/2024
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