Organization
SUHAS LLC
Active
Other names
American Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
GANGA VENUTHURLA (OWNER)
(440) 701-8030
Entity
Organization
Contact information
Practice address
9110 MENTOR AVE UNIT 9B, MENTOR, OH 44060-6404
(440) 701-8030
Mailing address
PO BOX 10417, HOLYOKE, MA 01041-2017
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
08/14/2020
Last updated
11/22/2021
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