Organization
SENIOR OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES LYNCH (EXECUTIVE DIRECTOR)
(216) 231-0003
Entity
Organization
Contact information
Practice address
2390 E 79TH ST, CLEVELAND, OH 44104-2161
(216) 231-0003
Mailing address
2390 E 79TH ST, CLEVELAND, OH 44104-2161
(216) 231-0003
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906514
—
OH
Enumeration date
09/06/2011
Last updated
09/06/2011
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