| Lillie's Home, Inc. | |
|
11811 Shaker Blvd Ste 204 #1168 Cleveland OH 44120-1927 | |
| (216) 200-6727 | |
| Not Available |
| Full Name | Lillie's Home, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11811 Shaker Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | Tamika Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2162006727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillie's Home, Inc. 11811 Shaker Blvd Ste 204 #1168 Cleveland OH 44120-1927 Ph: () - | Lillie's Home, Inc. 11811 Shaker Blvd Ste 204 #1168 Cleveland OH 44120-1927 Ph: (216) 200-6727 |
| NPI Number | 1124856158 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124856158 | NPI | - | NPPES |
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