| Ies Of Georgia Llc | |
|
496 E 200th St Euclid OH 44119-1566 | |
| (216) 303-2003 | |
| Not Available |
| Full Name | Ies Of Georgia Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 496 E 200th St, Euclid, Ohio |
| Authorized Official Name and Position | Latia Worthy (CEO) |
| Authorized Official Contact | 2163150533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ies Of Georgia Llc 160 E 267th St Euclid OH 44132-1232 Ph: (216) 315-0533 | Ies Of Georgia Llc 496 E 200th St Euclid OH 44119-1566 Ph: (216) 303-2003 |
| NPI Number | 1194403683 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194403683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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