Organization
LAKE ERIE SENIORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH REISING (PRESIDENT)
(800) 836-2904
Entity
Organization
Contact information
Practice address
6701 ROCKSIDE RD, SUITE 250, CLEVELAND, OH 44131-2358
(216) 328-8086
(216) 328-8091
Mailing address
1128 PLEASANT VALLEY RAOD, #107, PARMA, OH 44134
(216) 328-8086
(216) 328-8091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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