Organization
INDEPENDENT HEALTHCARE 2.0
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JETTON R FREEMAN (OWNER)
(216) 301-6751
Entity
Organization
Contact information
Practice address
11806 RUTLAND AVE, CLEVELAND, OH 44108-1538
(216) 301-6751
Mailing address
P.O BOX 654444, CLEVELAND, OH 44105
(216) 301-6751
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/20/2023
Last updated
03/08/2023
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