Organization
SUPPORT FOR YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY YAGER (CEO)
(440) 567-8123
Entity
Organization
Contact information
Practice address
89 HELENE DR, PAINESVILLE, OH 44077-5377
(440) 567-8123
Mailing address
89 HELENE DR, PAINESVILLE, OH 44077-5377
(440) 567-8123
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4302721
—
OH
Enumeration date
10/01/2014
Last updated
10/01/2014
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