Organization
OHIO YOUTH WELLNESS & ENRICHMENT
Active
Parent organization
WELLLIFE OHIO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLLIFE OHIO, LLC
Authorized official
BIANCA M WILSON (OWNER)
(440) 650-7215
Entity
Organization
Contact information
Practice address
16327 DELREY AVE, CLEVELAND, OH 44128-1369
(440) 317-9980
Mailing address
16327 DELREY AVE, CLEVELAND, OH 44128-1369
(440) 317-9980
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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