Provider Demographics
NPI:1952758336
Name:PSALMS OF LOVE HOME HEALH COMPANION SERVICES LLC,
Entity Type:Organization
Organization Name:PSALMS OF LOVE HOME HEALH COMPANION SERVICES LLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-534-9829
Mailing Address - Street 1:9501 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-2149
Mailing Address - Country:US
Mailing Address - Phone:216-534-9829
Mailing Address - Fax:216-761-0739
Practice Address - Street 1:9501 YALE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-2149
Practice Address - Country:US
Practice Address - Phone:216-534-9829
Practice Address - Fax:216-761-0739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health