Organization
INDIVIDUAL PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINE COMPTON (STATE TESTED NURSE AIDE)
(216) 233-8396
Entity
Organization
Contact information
Practice address
27601 MILLS AVE, #B, CLEVELAND, OH 44132-6015
(216) 233-8396
Mailing address
27601 MILLS AVE, #B, EUCLID, OH 44132-6015
(216) 233-8396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
375626480596
OH
385H00000X
Respite Care
375626480596
OH
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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