Organization
PRETERM CLEVELAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISSE FRANCE (EXECUTIVE DIRECTOR)
(216) 991-4577
Entity
Organization
Contact information
Practice address
12000 SHAKER BLVD, CLEVELAND, OH 44120-1922
(216) 991-4577
(216) 991-4571
Mailing address
12000 SHAKER BLVD, CLEVELAND, OH 44120-1922
(216) 991-4577
(216) 991-4571
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0288AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234697
—
OH
Enumeration date
07/22/2005
Last updated
08/22/2020
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