# CLEVELAND HEALTH VENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEVELAND HEALTH VENTURES LLC
- **Other names:** Cleveland Endocrinology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124255047
- **Legal business name:** CLEVELAND HEALTH VENTURES LLC
- **Authorized official:** MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 510 W KING ST, SUITE C, KINGS MOUNTAIN, NC 28086-3310
- **Practice address phone:** (980) 487-2270
- **Practice address fax:** (704) 734-0379
- **Mailing address:** PO BOX 601884, CHARLOTTE, NC 28260-1884
- **Mailing address phone:** (980) 487-2270
- **Mailing address fax:** (704) 734-0379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 01/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5913029 | — | NC |
| 05 | — | NPB319 | — | SC |