Organization
CLEVELAND HEALTH VENTURES LLC
Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
Carolinas Sleep Services-Cleveland
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
MR. DANIEL J. WIENS (VICE-PRESIDENT OF OPERATIONS)
(704) 667-0410
Entity
Organization
Contact information
Practice address
825 E. KING STREET, KINGS MOUNTAIN, NC 28086-3186
(704) 650-6551
(704) 512-4808
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(704) 650-6551
(704) 512-4808
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918476
—
NC
Enumeration date
08/03/2011
Last updated
07/05/2013
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