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Organization

GENTLE TOUCH HOME HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAWANDA SHERRECE JOLLY INDEPENDANT PROVIDER (STNA,HOME CARE SERVICES)
(216) 203-6053
Entity
Organization

Contact information

Practice address
4126 E 110TH ST, CLEVELAND, OH 44105-5325
(216) 203-6053
Mailing address
4126 E 110TH ST, CLEVELAND, OH 44105-5325
(216) 203-6053

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0295563
OH
Enumeration date
01/22/2021
Last updated
01/22/2021
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