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Organization
NEW VISION HEALTH AND WELLNESS LLC
Active
Organization
NEW VISION HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (CREDENTIALING SPECIALIST)
(440) 453-0754
Entity
Organization
Contact information
Practice address
25701 N LAKELAND BLVD STE 207, EUCLID, OH 44132-2451
(216) 774-9183
Mailing address
6501 MARSOL RD, MAYFIELD HEIGHTS, OH 44124-3567
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/19/2023
Last updated
07/02/2024
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