Organization
DELILALAS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L MERRIWEATHER PEER SUPPORT (CEO)
(216) 269-7643
Entity
Organization
Contact information
Practice address
10418 PRINCE AVE, CLEVELAND, OH 44105-2760
(216) 253-5377
Mailing address
10418 PRINCE AVE, CLEVELAND, OH 44105-2760
(216) 253-5377
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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