Provider Demographics
NPI:1689040792
Name:INNER PEACE EVER LIGHT HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:INNER PEACE EVER LIGHT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-701-9009
Mailing Address - Street 1:1318 E TALLMADGE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3609
Mailing Address - Country:US
Mailing Address - Phone:330-701-9009
Mailing Address - Fax:330-259-7803
Practice Address - Street 1:1318 E TALLMADGE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3609
Practice Address - Country:US
Practice Address - Phone:330-701-9009
Practice Address - Fax:330-259-7803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health