Organization
HERS AND HIS HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIECE DAVIS (CEO)
(216) 650-8313
Entity
Organization
Contact information
Practice address
7735 GRANGER RD STE C, CLEVELAND, OH 44125-4822
(216) 650-8313
Mailing address
7735 GRANGER RD STE C, CLEVELAND, OH 44125-4822
(216) 650-8313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245682
—
OH
Enumeration date
06/20/2018
Last updated
10/29/2018
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