Organization
BENEVOLENT CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENITHA SEBRINA GARRETT RN, BSN (CEO)
(216) 965-5040
Entity
Organization
Contact information
Practice address
13508 MAPLEROW AVE, GARFIELD HEIGHTS, OH 44105-6932
(216) 956-2419
(216) 662-2708
Mailing address
13508 MAPLEROW AVE, GARFIELD HEIGHTS, OH 44105-6932
(216) 956-2419
(216) 662-2708
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RN-253537
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1810213
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
05
—
2843641
—
OH
Enumeration date
03/05/2010
Last updated
03/05/2010
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