Organization
EJQ HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA P BOONE LPN (ADMINISTRATOR)
(440) 323-7004
Entity
Organization
Contact information
Practice address
800 MIDDLE AVENUE, ELYRIA, OH 44035-5855
(440) 323-7004
(440) 322-4051
Mailing address
800 MIDDLE AVENUE, ELYRIA, OH 44035-5855
(440) 323-7004
(440) 322-4051
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310265
—
OH
Enumeration date
06/22/2005
Last updated
07/21/2022
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