| Monarch Ideal Care Llc | |
|
2855 W Market St Ste 204 Fairlawn OH 44333-4034 | |
| (234) 281-4384 | |
| (234) 203-5011 |
| Full Name | Monarch Ideal Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2855 W Market St Ste 204, Fairlawn, Ohio |
| Authorized Official Name and Position | Leslee Mcelrath (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2342814384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Ideal Care Llc 2855 W Market St Ste 204 Fairlawn OH 44333-4034 Ph: (234) 281-4384 | Monarch Ideal Care Llc 2855 W Market St Ste 204 Fairlawn OH 44333-4034 Ph: (234) 281-4384 |
| NPI Number | 1952872319 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 2163760810 |
|---|---|
| Medicare Enrollment ID | O20190205002569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952872319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Leslee Mcelrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952747396 PECOS PAC ID: 5799913463 Enrollment ID: I20180321001428 |
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