Organization
FAMILIES AFFAIR HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNTAE JOHNSON (LPN)
(216) 326-1834
Entity
Organization
Contact information
Practice address
21770 FULLER AVE, EUCLID, OH 44123-2763
(216) 326-1834
Mailing address
21770 FULLER AVENUE, EUCLID, OH 44123
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
PN122825 MEDS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093083024
NPI
OH
Enumeration date
12/05/2011
Last updated
01/24/2012
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