Kingdom's Care On the Lake

NPI #1811457765 in Euclid, Ohio

Provider Information

NPI Number: 1811457765
Entity Type: Organization
Organization Name: Kingdom's Care On the Lake
Subpart: Yes (part of a larger organization)
Parent Organization: KINGDOM'S CARE ON THE LAKE
Primary Specialty: Home Health
Enumeration Date: Mar 25, 2019
Last Updated: Mar 25, 2019

Practice Location

Address: 25325 CHATWORTH DR
City: Euclid
State: Ohio
ZIP Code: 44117-1839
Phone: (216) 688-8210

Authorized Official

Name: CANDIANCE LEE
Title: OWNER
Phone: (216) 688-8210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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