Organization
CLUB GREEN CORPORATION
Active
Other names
Better Care Provider Network
Organization subpart
No
Provider details
NPI number
Authorized official
NADIR HAZLY (EXECUTIVE DIRECTOR)
(214) 701-7227
Entity
Organization
Contact information
Practice address
3602 MOBILE CT, CLEVELAND, OH 44109-4206
(330) 803-5644
Mailing address
1096 MERCER AVE, AKRON, OH 44320-3646
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/10/2024
Last updated
03/31/2024
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