Organization
LIFE ENHANCEMENT SERVICES OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R SIMPSON (MANAGING MEMBER)
(216) 400-0207
Entity
Organization
Contact information
Practice address
416 W STATE ST, FREMONT, OH 43420-2577
(704) 342-9595
Mailing address
4415 EUCLID AVE STE 335, CLEVELAND, OH 44103-3758
(216) 400-0207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
08/29/2022
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