Healthcare Provider Details

I. General information

NPI: 1760880645
Provider Name (Legal Business Name): THE ERIN INSTITUTE OF HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7707 MACEDONIA RD
OAKWOOD VILLAGE OH
44146-6238
US

IV. Provider business mailing address

7707 MACEDONIA RD
OAKWOOD VILLAGE OH
44146-6238
US

V. Phone/Fax

Practice location:
  • Phone: 216-326-1465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SACHEEN DUNN-FORD
Title or Position: DIRECTOR
Credential:
Phone: 216-326-1465