Organization
LIFE ENHANCEMENT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHOY SIMPSON II (CEO)
(216) 400-0207
Entity
Organization
Contact information
Practice address
3100 E 45TH ST STE 438, CLEVELAND, OH 44127-1095
(216) 400-0207
Mailing address
3100 E 45TH ST STE 438, CLEVELAND, OH 44127-1095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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