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Organization

EVI-BASE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JAYNE REEDY (PRESIDENT/CEO)
(440) 752-4427
Entity
Organization

Contact information

Practice address
4807 ROCKSIDE RD, SUITE 740, INDEPENDENCE, OH 44131-2192
(216) 215-2230
Mailing address
32376 LAKE RD, AVON LAKE, OH 44012-1812
(440) 752-4427

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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Product
  • Claims
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  • EDI platform