Organization
DARE TO BE DIFFERENT, LLC
Active
Other names
Dare To Be Different, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE PETTY (OWNER)
(501) 313-9659
Entity
Organization
Contact information
Practice address
471 EAST 1421STREET, CLEVELAND HEIGHTS, OH 44110
(501) 313-9659
Mailing address
3568 BRINKMORE RD, CLEVELAND HEIGHTS, OH 44121-1338
(501) 313-9659
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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