Organization
OUR COMMUNITY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUN'DREA CLARK (OWNER)
(216) 906-5610
Entity
Organization
Contact information
Practice address
635 W. 73, CHICAGO, IL 60621
(216) 906-5610
Mailing address
3627 STRATHAVON RD UPPR, SHAKER HEIGHTS, OH 44120-5228
(216) 906-5610
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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