555 Platt Avenue LLC
Acupuncturist in Cleveland, OH. Organization (NPI-2).
NPI number1124875463
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1124875463
- Entity type
- Organization (NPI-2)
- Legal business name
- 555 Platt Avenue LLC
- Organization subpart
- No
- Enumeration date
- May 3, 2024
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Practice location
12200 Fairhill Rd Ste B413Cleveland, OH 44120-1058
Phone 216-855-0842
Mailing address
12200 Fairhill Rd Ste B413Cleveland, OH 44120-1058
Phone 216-855-0842
Authorized official
Lisa R Hopps
Owner / Manager
2168550842
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