Organization
REVOLUTION WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE DELANO SUMMERS III MS ED (OWNER)
(330) 307-4396
Entity
Organization
Contact information
Practice address
455 GRANDVIEW AVE, HUBBARD, OH 44425-2218
(330) 307-4396
Mailing address
455 GRANDVIEW AVE, HUBBARD, OH 44425-2218
(330) 307-4396
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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