Healthcare Provider Details

I. General information

NPI: 1245606995
Provider Name (Legal Business Name): NORWILL HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E 45TH ST SUITE 224
CLEVELAND OH
44127-1088
US

IV. Provider business mailing address

3100 E 45TH ST STE 102
CLEVELAND OH
44127-1094
US

V. Phone/Fax

Practice location:
  • Phone: 216-324-1338
  • Fax: 216-373-4969
Mailing address:
  • Phone: 216-441-9669
  • Fax: 216-373-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. OLIETUNJA D MANN
Title or Position: OWNER
Credential:
Phone: 216-441-9669