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Organization

JOSHUAS HOUSE(LANE LEASING INC)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON P BRAND (CEO)
(216) 310-0815
Entity
Organization

Contact information

Practice address
29057 CHARDON RD, WICKLIFFE, OH 44092-1402
(216) 310-0815
Mailing address
29057 CHARDON RD, WICKLIFFE, OH 44092-1402
(216) 310-0815

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1477923
OH

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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