Organization
NEW VISION HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (CREDENTIALING SPECIALIST)
(440) 453-0754
Entity
Organization
Contact information
Practice address
25701 N LAKELAND BLVD STE 207, EUCLID, OH 44132-2451
(216) 774-9183
Mailing address
6501 MARSOL RD, MAYFIELD HEIGHTS, OH 44124-3567
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
07/02/2024
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