Organization
WALDEN HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HOLOWACH (EXECUTIVE VICE PRESIDENT)
(718) 614-7624
Entity
Organization
Contact information
Practice address
25200 CENTER RIDGE RD STE 2301, WESTLAKE, OH 44145-4141
(440) 455-3348
(440) 895-5050
Mailing address
36711 AMERICAN WAY STE A, AVON, OH 44011-4062
(440) 455-3348
(440) 895-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.047318
OH
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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