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Organization

PROTEM HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADA NWORIE (DIRECTOR OF NURSING)
(216) 663-8188
Entity
Organization

Contact information

Practice address
3535 LEE RD, SHAKER HEIGHTS, OH 44120-5122
(216) 663-8188
(216) 938-8056
Mailing address
3535 LEE RD, SHAKER HEIGHTS, OH 44120-5122
(216) 663-8188
(216) 938-8056

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2697890
OH
Enumeration date
04/16/2013
Last updated
11/01/2016
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