Provider First Line Business Practice Location Address:
23210 CHAGRIN BLVD SUITE 400
Provider Second Line Business Practice Location Address:
NORTH EAST OHIO HEALTH SERVICES
Provider Business Practice Location Address City Name:
BEACHWOOD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44122-5429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-831-6466
Provider Business Practice Location Address Fax Number:
216-766-6084
Provider Enumeration Date:
11/01/2006