Organization
ALL CONQUERED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRDINA LAFAYE GOLSON RN (PARTNER)
(216) 258-2597
Entity
Organization
Contact information
Practice address
1412 VILLA DR, SOUTH EUCLID, OH 44121-2904
(216) 258-2597
Mailing address
1412 VILLA DR, SOUTH EUCLID, OH 44121-2904
(216) 258-2597
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
348737
OH
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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