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Organization
LEGACY HEALTH AND WELLNESS
Active
Organization
LEGACY HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILAH KIDD (CEO)
(330) 245-6518
Entity
Organization
Contact information
Practice address
10112 KINSMAN RD, CLEVELAND, OH 44104-5367
(330) 245-6518
Mailing address
10112 KINSMAN RD, CLEVELAND, OH 44104-5367
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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