# CLEVELAND HEALTH VENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEVELAND HEALTH VENTURES LLC
- **Other names:** Shelby Women's Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982927364
- **Legal business name:** CLEVELAND HEALTH VENTURES LLC
- **Authorized official:** DANIEL L WIENS (SENIOR VICE PRESIDENT OPERATIONS)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 821 E KING ST, KINGS MOUNTAIN, NC 28086-3186
- **Practice address phone:** (704) 734-0304
- **Practice address fax:** (704) 734-0309
- **Mailing address:** PO BOX 601884, CHARLOTTE, NC 28260-1884
- **Mailing address phone:** (704) 734-0304
- **Mailing address fax:** (704) 734-0309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2010
- **Last updated:** 01/25/2013