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Organization

FAITH AVENUE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEAIRA UTLEY (OWNER)
(216) 210-0512
Entity
Organization

Contact information

Practice address
3041 E 73RD ST, CLEVELAND, OH 44104-4166
(216) 220-9892
Mailing address
11811 SHAKER BLVD, STE 204 #1114, CLEVELAND, OH 44120-4166
(216) 789-2977
(216) 260-2269

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
363L00000X
Nurse Practitioner
376K00000X
Nurse's Aide

Other

Enumeration date
06/28/2022
Last updated
09/28/2022
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