Organization
SIGNATURE HEALTH INC.
Active
Organization
SIGNATURE HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEE (CEO)
(440) 953-9999
Entity
Organization
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Mailing address
38882 MENTOR AVE., MENTOR, OH 44094
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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