Organization
GRT PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI JACOBS APRN (MEDICAL PROVIDER)
(855) 200-2478
Entity
Organization
Contact information
Practice address
6040 TELETOWNE DR, TOLEDO, OH 43612-4603
(855) 200-2478
(734) 799-8022
Mailing address
5646 KYLIE CT, SYLVANIA, OH 43560-9910
(419) 466-0001
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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