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General NPI Number Information
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NPI Number | 1245037985
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Entity Type | Organization
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Legal Business Name | CHAGRIN VALLEY SENIORS
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 4949 GALAXY PKWY STE A
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44128-5959
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Country | US
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Telephone | 216-998-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 SOM CENTER RD STE 375
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2048
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Country | US
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Telephone | 216-998-2273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | HEATHER MAVER
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Credential |
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Telephone | 216-998-7025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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