Organization
NORTH COAST COMMUNITY HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS STROUP (CHIEF OPERATING OFFICER)
(216) 662-1893
Entity
Organization
Contact information
Practice address
14221 BROADWAY AVE, CLEVELAND, OH 44125-1953
(216) 662-1880
Mailing address
14221 BROADWAY AVE, CLEVELAND, OH 44125-1953
(216) 662-1880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14444
—
OH
Enumeration date
04/01/2025
Last updated
04/01/2025
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