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Organization
OHIO EXCEL CARE
Active
Organization
OHIO EXCEL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICKSON E IDUSUYI (CEO)
(225) 610-5376
Entity
Organization
Contact information
Practice address
11811 SHAKER BLVD STE 204, CLEVELAND, OH 44120-1927
(225) 610-5376
(225) 361-0483
Mailing address
11811 SHAKER BLVD STE 204, CLEVELAND, OH 44120-1927
(225) 610-5376
(225) 361-0483
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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