Organization
R.E. PRUITT ORGANIZATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNETTA BRIMAGE (EXECUTIVE DIRECTOR)
(216) 744-9492
Entity
Organization
Contact information
Practice address
25000 EUCLID AVE STE 101, EUCLID, OH 44117-2621
(216) 744-9492
Mailing address
25000 EUCLID AVE STE 101, CLEVELAND, OH 44117-2621
(216) 744-9492
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165730
—
OH
Enumeration date
10/25/2018
Last updated
12/22/2021
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