Organization
AMARIS JEAN AESTHETICS AND WELLNESS LLC
Active
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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