Organization
SUHAS LLC
Active
Other names
American Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
GANGA BHAVANI VENUTHURLA (CENTER DIRECTOR)
(440) 701-8030
Entity
Organization
Contact information
Practice address
9110 MENTOR AVE STE 9B, MENTOR, OH 44060-6404
(440) 701-8030
Mailing address
PO BOX 10417, HOLYOKE, MA 01041-2017
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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