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Organization
ATLANTIC HEALTHCARE SERVICES LLC
Active
Organization
ATLANTIC HEALTHCARE SERVICES LLC
Active
Other names
Atlantic Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE LYNNE GOODWIN RN (PRESIDENT)
(216) 898-8450
Entity
Organization
Contact information
Practice address
5372 FALLOWATER LN STE 200, ROANOKE, VA 24018-0909
(216) 898-8399
(216) 898-8455
Mailing address
12380 PLAZA DR, PARMA, OH 44130-1043
(216) 898-8450
(216) 898-8455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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