Buckeye Wellness Center
Point of Service in Cleveland, OH. Organization (NPI-2).
NPI number1922400548
StatusActive
Last updated in NPPESSep 26, 2014
Details
- NPI
- 1922400548
- Entity type
- Organization (NPI-2)
- Legal business name
- Buckeye Wellness Center
- Organization subpart
- No
- Enumeration date
- Sep 26, 2014
- Last updated
- Sep 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
7545 Granger RdCleveland, OH 44125-4818
Phone 216-816-6860
Mailing address
7545 Granger RdCleveland, OH 44125-4818
Authorized official
Christopher Wynn
Owner
4405524311
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