| Life Enhancement Services Of Ohio, Llc | |
|
416 W State St Fremont OH 43420-2577 | |
| (704) 342-9595 | |
| Not Available |
| Full Name | Life Enhancement Services Of Ohio, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 416 W State St, Fremont, Ohio |
| Authorized Official Name and Position | Anthony R Simpson (MANAGING MEMBER) |
| Authorized Official Contact | 2164000207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services Of Ohio, Llc 4415 Euclid Ave Ste 335 Cleveland OH 44103-3758 Ph: (216) 400-0207 | Life Enhancement Services Of Ohio, Llc 416 W State St Fremont OH 43420-2577 Ph: (704) 342-9595 |
| NPI Number | 1821400573 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821400573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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