Organization
HOMELESS W INCOME
Active
Other names
dust busters homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRONA DAVIS (0WNER)
(216) 456-0306
Entity
Organization
Contact information
Practice address
3323 W 25TH ST, CLEVELAND, OH 44109-1691
(216) 456-0306
Mailing address
3323 W 25TH ST, CLEVELAND, OH 44109-1691
(216) 456-0306
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
302F00000X
OH
305R00000X
Preferred Provider Organization
305R00000X
—
305R00000X
Preferred Provider Organization
Primary
—
OH
Other
Enumeration date
04/13/2015
Last updated
07/21/2022
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