# FAMILY WELLNESS NETWORK CLE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255790721
- **Authorized official:** SHIRLEY TATUM-CHAPMAN (PROGRAM COORDINATOR)
- **Authorized official phone:** (216) 707-9479

## Contact information

- **Practice address:** 12200 FAIRHILL RD, CLEVELAND, OH 44120-1058
- **Practice address phone:** (216) 352-1396
- **Mailing address:** 5247 WILSON MILLS RD, SUITE 163, RICHMOND HTS, OH 44143-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2016
- **Last updated:** 02/12/2016
