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NPI Code Detail

MEDICARE: DEVELOPMENTAL CARE PARTNERS LLC

MEDICARE: DEVELOPMENTAL CARE PARTNERS LLC
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 Agency

General Provider Information

NPI Number : 1659055218
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEVELOPMENTAL CARE PARTNERS LLC
Provider Business Mailing Address
First Line : 2800 EUCLID AVE STE 314
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2418
Country : US
Telephone Number : 216-903-0977
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EUCLID AVE STE 314
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2418
Country : US
Telephone Number : 216-903-0977
Fax Number :
Authorized Official
Title or Position : CEO
Name : PAWYICA WONAME
Credential :
Telephone Number : 216-903-0977
Provider Enumeration Date : 06/14/2023
Last Update Date : 06/14/2023

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Directions to “DEVELOPMENTAL CARE PARTNERS LLC ” Practice Location

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