Organization
CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCIS AFRAM-GYENING FACHE (CHIEF EXECUTIVE OFFICER)
(216) 781-6228
Entity
Organization
Contact information
Practice address
1530 SAINT CLAIR AVENUE, CLEVELAND, OH 44114-2004
(216) 781-6228
(216) 298-5015
Mailing address
1530 SAINT CLAIR AVENUE, CLEVELAND, OH 44114-2004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216064
—
OH
05
—
0216082
—
OH
Enumeration date
03/06/2007
Last updated
11/14/2008
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