Advanced Care Group LLC
Clinic/Center, Developmental Disabilities in South Euclid, OH. Organization (NPI-2).
NPI number1164210340
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1164210340
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Care Group LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2025
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
14077 Cedar Rd Ste 102South Euclid, OH 44118-3332
Phone 404-425-0122
Mailing address
12734 Hampton Club Dr Apt 104North Royalton, OH 44133-7436
Phone 404-425-0122
Authorized official
Abdikani Hassan
President
4044250122
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