Organization
BOSS UP GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANSIA M KINDLE THEOLOGY DEGREE (CARE COORDINATOR)
(216) 338-3324
Entity
Organization
Contact information
Practice address
23712 FELCH ST, CLEVELAND, OH 44128-5226
(216) 338-3324
Mailing address
23712 FELCH ST, CLEVELAND, OH 44128-5226
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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