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NPI Code Detail

MEDICARE: AQUILLA CARE

MEDICARE: AQUILLA CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyOH

General Provider Information

NPI Number : 1598198731
Entity Type Code : Organization
Provider Name (Legal Business Name) : AQUILLA CARE
Provider Business Mailing Address
First Line : 540 E 105TH ST
Second Line : SUITE 202D
City : CLEVELAND
State : OH
Zip : 44108-4301
Country : US
Telephone Number : 216-235-0639
Fax Number : 216-249-5655
Provider Business Practice Location Address
First Line : 540 E 105TH ST
Second Line : SUITE 202D
City : CLEVELAND
State : OH
Zip : 44108-4301
Country : US
Telephone Number : 216-235-0639
Fax Number : 216-249-5655
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MISS ASHLEY AQUILLA WHEADON
Credential :
Telephone Number : 216-249-5655
Provider Enumeration Date : 08/12/2013
Last Update Date : 08/12/2013

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Directions to “AQUILLA CARE ” Practice Location

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