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NPI Code Detail

MEDICARE: STRONG TOWER LIVING AT HOME LLC

MEDICARE: STRONG TOWER LIVING AT HOME 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1699483966
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRONG TOWER LIVING AT HOME LLC
Provider Business Mailing Address
First Line : 4977 PENNY LN
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-5417
Country : US
Telephone Number : 216-855-7692
Fax Number :
Provider Business Practice Location Address
First Line : 3676 E 118TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-2558
Country : US
Telephone Number : 216-855-7692
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. JEROME CASTLEBERRY SR.
Credential :
Telephone Number : 216-855-7692
Provider Enumeration Date : 11/07/2022
Last Update Date : 11/07/2022

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Directions to “STRONG TOWER LIVING AT HOME LLC ” Practice Location

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