Organization
CONCORDIA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANIS FAEHNRICH (PRESIDENT CEO)
(216) 791-3580
Entity
Organization
Contact information
Practice address
2373 EUCLID HEIGHTS BLVD, CLEVELAND HEIGHTS, OH 44106-2705
(216) 791-3580
(216) 791-3281
Mailing address
2373 EUCLID HEIGHTS BLVD, CLEVELAND HEIGHTS, OH 44106-2705
(216) 791-3580
(216) 791-3281
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
2022886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022886
—
OH
Enumeration date
12/21/2006
Last updated
08/22/2020
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