Organization
DOVE LEGACY HEALTH
Active
Other names
Dove Legacy Health
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI LITTLEJOHN DNP, FNPC (CEO)
(216) 262-0155
Entity
Organization
Contact information
Practice address
16100 EUCLID AVE, EAST CLEVELAND, OH 44112-1630
(216) 200-6988
Mailing address
14108 BECKET RD, SHAKER HTS, OH 44120-2825
(216) 262-0155
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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