Organization
JUBILEE HEALTHCARE LLC
Active
Other names
North Shore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED DEGRANDIS (PRESIDENT)
(216) 312-5059
Entity
Organization
Contact information
Practice address
25200 CENTER RIDGE RD STE 1100, WESTLAKE, OH 44145
(844) 746-8537
(216) 450-1810
Mailing address
25200 CENTER RIDGE RD STE 1100, WESTLAKE, OH 44145-4146
(844) 746-8537
(216) 450-1810
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
10/17/2016
Last updated
06/16/2018
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