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Organization

GORDIAN KNOT HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMMANUEL KIDOLA RN (OWNER)
(216) 469-1730
Entity
Organization

Contact information

Practice address
12900 LAKE AVE, LAKEWOOD, OH 44107-1577
(216) 469-1730
Mailing address
320 KENSINGTON RD, ROCKY RIVER, OH 44116-1510
(216) 469-1730

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
03/28/2025
Last updated
03/28/2025
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