Organization
AMARIS JEAN AESTHETICS AND WELLNESS LLC
Active
Other names
Amaris Jean Aesthetics and Wellness LLc
Organization subpart
No
Provider details
NPI number
Authorized official
KETURA JACKSON NURSE PRACTITIONER (APRN/CNP/OWNER)
(216) 855-7775
Entity
Organization
Contact information
Practice address
4630 RICHMOND RD STE 198, CLEVELAND, OH 44128-5954
(216) 855-7775
(216) 245-6126
Mailing address
13512 THORNHURST AVE, GARFIELD HTS, OH 44105-6851
(216) 855-7775
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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