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Organization

GODDESSES BLESSING GODDESSES

Active
Other names
Goddess Retreat
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LADONNA BLAYLOCK (EXECUTIVE DIRECTOR)
(216) 502-0082
Entity
Organization

Contact information

Practice address
3300 E 55TH ST, CLEVELAND, OH 44127-1529
(216) 502-0082
Mailing address
3300 E 55TH ST, CLEVELAND, OH 44127-1529
(216) 502-0082

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
04/01/2014
Last updated
04/01/2014
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