| NPI | 1144640541 |
|---|---|
| Doing Business As | MY HEALTH CENTER AT LOWE'S STATEVILLE |
| Entity Type | Organization |
| Authorized Contact | JON LEIZMAN President 216-479-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2022-08-24 |