MEDICARE: JUST LIKE FAMILEE II, INC

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
1	251E00000X	Home Health Agency	1461640	OH

General Provider Information

NPI Number	:	1285831131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST LIKE FAMILEE II, INC

Provider Business Mailing Address
First Line	:	1991 LEE RD
Second Line	:	SUITE 205
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2571
Country	:	US
Telephone Number	:	121-632-5075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1991 LEE RD
Second Line	:	SUITE 205
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2571
Country	:	US
Telephone Number	:	121-632-5075
Fax Number	:

Authorized Official
Title or Position	:	ADMIN.
Name	:	MS. DELORES L KNIGHT
Credential	:
Telephone Number	:	213-321-5075

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	08/22/2020

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