Organization
DEDICATED OHIO HOLDING LLC
Active
Parent organization
DEDICATED OHIO HOLDING LLC
Other names
Dedicated Senior Medical Center West Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED OHIO HOLDING LLC
Authorized official
MARY CHEN (OWNER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
13719 LORAIN AVE, CLEVELAND, OH 44111-3439
(216) 307-3005
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
04/23/2020
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