Individual
MARVIN SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2490 LEE BLVD # 200-9, CLEVELAND HEIGHTS, OH 44118-1268
(226) 352-7959
Mailing address
1606 LACLEDE RD, SOUTH EUCLID, OH 44121-3014
(216) 352-7959
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
OH
251E00000X
Home Health Agency
—
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
Other
Enumeration date
01/29/2020
Last updated
01/30/2020
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