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Organization

WESTERN RESERVE AT HOME SUPPORT LLC

Active
Parent organization
HOSPICE OF THE WESTERN RESERVE, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOSPICE OF THE WESTERN RESERVE, INC.
Authorized official
MR. WILLAM E FINN (CHIEF EXECUTIVE OFFICER)
(216) 383-2222
Entity
Organization

Contact information

Practice address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
(216) 298-0241
Mailing address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
(216) 298-0241

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/18/2013
Last updated
12/18/2013
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