NPI 1043909310

Haven of Hope Adult Family Home LLC

Organisation Adult Care Home Facility Cleveland, OH

Practice location

Address: 428 E 123rd St, Cleveland, OH 44108-1704
Phone: (216) 926-9243
Mailing address: 3474 Tullamore Rd, Cleveland Heights, OH 44118-3019

Authorised official

Name: Randalene Nichole Porch
Title: Owner
Phone: (216) 926-9243

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1043909310
Entity type: Organization
NPI issued: 3 May 2023
Record last updated: 3 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.