Organization
CLEVELAND HEALTH VENTURES LLC
Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
Cleveland Pulmonary and Sleep Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
MR. DANIEL WIENS (SENIOR VICE PRESIDENT-OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
823 E. KING STREET, KINGS MOUNTAIN, NC 28086-3186
(980) 487-2700
(980) 487-2701
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(980) 487-2700
(980) 487-2701
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919524
—
NC
Enumeration date
10/14/2011
Last updated
01/31/2013
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