NPI | 1093098204 |
---|---|
Doing Business As | INTEL HEALTH FOR LIFE CENTER-229TH AVE HILLSBORO |
Entity Type | Organization |
Authorized Contact | JONATHAN LIEZMAN President 216-479-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2011-09-23 |
Last Update Date | 2022-10-13 |