Organization
CLEVELAND HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE JACKSON (OWNER)
(734) 368-0951
Entity
Organization
Contact information
Practice address
7354 MAPLELAWN DR, YPSILANTI, MI 48197-1883
(734) 368-0951
(734) 485-9818
Mailing address
7354 MAPLELAWN DR, YPSILANTI, MI 48197-1883
(734) 368-0951
(734) 485-9818
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1344564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2438713
—
OH
Enumeration date
06/18/2006
Last updated
08/22/2020
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