Individual
DENNIS WELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11709 IMPERIAL AVE, CLEVELAND, OH 44120-3106
(440) 876-3208
Mailing address
11709 IMPERIAL AVE, CLEVELAND, OH 44120-3106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1822059
—
OH
Enumeration date
09/24/2020
Last updated
09/24/2020
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