THE LORENZO G JACKSON FOUNDATION

CLEVELAND, OH
NPI1154555175
Entity TypeOrganization
Authorized ContactEDWARD JOHNSON
CEO
216-799-8292
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2009-05-05
Last Update Date2009-05-05
Business Address
THE LORENZO G JACKSON FOUNDATION
4756 E 174TH ST
CLEVELAND, OH 44128-3924
Phone number: 216-799-8292
Mailing Address
THE LORENZO G JACKSON FOUNDATION
4756 E 174TH ST
CLEVELAND, OH 44128-3924
Phone number: 216-799-8292