Organization
S.I.S.T.E.R SISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE JOHNSON (OWNER)
(405) 617-7124
Entity
Organization
Contact information
Practice address
12809 CORLETT AVE, CLEVELAND, OH 44105-2915
(440) 424-0754
Mailing address
12809 CORLETT AVE, CLEVELAND, OH 44105-2915
(440) 561-7712
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/06/2023
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