Organization
INDEPENDANT HOME HEALTH CARE NON-AIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE MARIE CLEAVENGER (HOME HEALTH CARE PROVIDER)
(330) 922-3330
Entity
Organization
Contact information
Practice address
3406 PRANGE DR, CUYAHOGA FALLS, OH 44223-3224
(330) 945-6304
Mailing address
645 W BATH RD, CUYAHOGA FALLS, OH 44223-3002
(330) 922-3330
(330) 922-3330
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
2225612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103293964599
—
OH
05
—
109005954201
—
OH
Enumeration date
05/28/2006
Last updated
08/22/2020
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