| Legacy Health And Wellness | |
|
10112 Kinsman Rd Cleveland OH 44104-5367 | |
| (330) 245-6518 | |
| Not Available |
| Full Name | Legacy Health And Wellness |
|---|---|
| Speciality | Health & Wellness Coach |
| Location | 10112 Kinsman Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Shilah Kidd (CEO) |
| Authorized Official Contact | 3302456518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Health And Wellness 10112 Kinsman Rd Cleveland OH 44104-5367 Ph: () - | Legacy Health And Wellness 10112 Kinsman Rd Cleveland OH 44104-5367 Ph: (330) 245-6518 |
| NPI Number | 1417710153 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417710153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
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