# BROADWAY LIFEFORCE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Broadway Orthopedics & Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255624342
- **Authorized official:** JAMES G. O'REILLY DC (OWNER)
- **Authorized official phone:** (216) 271-1133

## Contact information

- **Practice address:** 6829 BROADWAY AVE, CLEVELAND, OH 44105-1313
- **Practice address phone:** (216) 271-1133
- **Practice address fax:** (216) 271-1325
- **Mailing address:** 8549 ANTLERS TRL, N RIDGEVILLE, OH 44039-6406
- **Mailing address phone:** (216) 271-1133
- **Mailing address fax:** (216) 271-1325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2011
- **Last updated:** 08/31/2015
