Organization
ANOTHER CHANCE LLP
Active
Other names
Another Chance LLP
Organization subpart
No
Provider details
NPI number
Authorized official
DAIRRA ANISE BOSS (CEO)
(330) 321-9148
Entity
Organization
Contact information
Practice address
2177 E 80TH ST, CLEVELAND, OH 44103-4952
(330) 321-9148
Mailing address
6811 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2274
(216) 501-7924
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619298288
—
OH
Enumeration date
03/29/2018
Last updated
03/29/2018
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