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Organization

EDU-AT-TECH, LLC

Active
Parent organization
EDU-AT-TECH, LLC
Other names
Educational Assistive Technology, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EDU-AT-TECH, LLC
Authorized official
DR. ARIES NICHELLE COBB PH.D. (DIRECTOR)
(216) 217-0561
Entity
Organization

Contact information

Practice address
7102 WAKEFIELD AVE, CLEVELAND, OH 44102-2972
(216) 217-0561
Mailing address
PO BOX 91666, CLEVELAND, OH 44101-3666
(216) 217-0561

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20799
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059044
OH
Enumeration date
01/15/2013
Last updated
01/15/2013
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