Organization
MY FATHERS HOUSE ADULT DAY SERVICES L.L.C.
Active
Organization
MY FATHERS HOUSE ADULT DAY SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGENIA LANE (OWNER)
(216) 390-0881
Entity
Organization
Contact information
Practice address
26210 EMERY RD, SUITE 309, WARRENSVILLE HTS, OH 44128-5769
(216) 514-4849
(216) 912-8283
Mailing address
26210 EMERY RD, SUITE 309, WARRENSVILLE HTS, OH 44128-5769
(216) 514-4849
(216) 912-8283
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1998445
OH
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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