Organization · NPI-2

Amaris Jean Aesthetics And Wellness LLC

Clinic/Center · Cleveland, OH

NPI number1043929078

StatusActive

Last updated in NPPESNov 17, 2022

Details

NPI: 1043929078
Entity type: Organization (NPI-2)
Legal business name: Amaris Jean Aesthetics And Wellness LLC
Organization subpart: No
Enumeration date: Nov 17, 2022
Certification date: Nov 17, 2022
Last updated: Nov 17, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
251E00000X	Home Health	–	–
251J00000X	Nursing Care	–	–
261QA0600X	Clinic/Center, Adult Day Care	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–
261QP2300X	Clinic/Center, Primary Care	–	–

Other names

Amaris Jean Aesthetics And Wellness LLC (Doing Business As)

Practice location

4630 Richmond Rd Ste 198
Cleveland, OH 44128-5954

Phone 216-855-7775 · Fax 216-245-6126

Mailing address

13512 Thornhurst Ave
Garfield Hts, OH 44105-6851

Phone 216-855-7775

Authorized official

Ketura Jackson
Aprn/Cnp/Owner
2168557775

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