Organization
JUBILEE HEALTHCARE, LLC
Active
Other names
North Shore Healthcare, NorthShore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
FRED DEGRANDIS (PRESIDENT)
(216) 312-5059
Entity
Organization
Contact information
Practice address
5105 SOM CENTER RD, WILLOUGHBY, OH 44094-4203
(216) 285-5115
Mailing address
36711 AMERICAN WAY STE A, AVON, OH 44011-4062
(440) 808-1222
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192836
—
OH
Enumeration date
06/13/2017
Last updated
06/16/2018
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