Organization
HEALTHY GREEN LIFESTYLE CENTER OF TOWN PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R CLAY (PRESIDENT)
(330) 494-8641
Entity
Organization
Contact information
Practice address
1790 TOWN PARK BLVD, SUITE D, UNIONTOWN, OH 44685-7972
(330) 494-8641
Mailing address
1790 TOWN PARK BLVD, SUITE D, UNIONTOWN, OH 44685-7972
(330) 494-8641
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/04/2008
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