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Organization
SIGNATURE HEALTH, INC
Active
Organization
SIGNATURE HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ALBERT LEE (CEO)
(440) 953-9999
Entity
Organization
Contact information
Practice address
38876 MENTOR AVE, WILLOUGHBY, OH 44094-7931
(440) 953-9999
(440) 918-3839
Mailing address
38876 MENTOR AVE, WILLOUGHBY, OH 44094-7931
(440) 953-9999
(440) 918-3839
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0467
OH
291U00000X
Clinical Medical Laboratory
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2325835
—
OH
Enumeration date
07/23/2006
Last updated
04/11/2025
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