Organization · NPI-2

Joyce Burnett

Health Maintenance Organization · Cleveland, OH

NPI number1295274447
StatusActive
Last updated in NPPESFeb 21, 2017

Details

NPI
1295274447
Entity type
Organization (NPI-2)
Legal business name
Joyce Burnett
Organization subpart
Yes
Enumeration date
Feb 21, 2017
Last updated
Feb 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization302R00000XOHYes
305R00000X Preferred Provider Organization–OH
305S00000X Point of Service305S00000XOH
302F00000X Exclusive Provider Organization302F00000XOH

Other names

  • Joyce Burnett (Former Legal Business Name)

Practice location

17021 Harvard Ave
Cleveland, OH 44128-2211

Phone 216-278-5955

Mailing address

17021 Harvard Ave
Cleveland, OH 44128-2211

Phone 216-278-5955

Authorized official

Joyce Burnett
Hha
2162785955

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