NPI | 1275203028 |
---|---|
Doing Business As | PREMISE HEALTH WELLNESS CENTER - LOUISVILLE |
Entity Type | Organization |
Authorized Contact | JON LEIZMAN President 216-479-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-09-14 |
Last Update Date | 2022-08-15 |