| NPI | 1437919776 |
|---|---|
| Doing Business As | DOVE LEGACY HEALTH |
| Entity Type | Organization |
| Authorized Contact | KELLI LITTLEJOHN CEO 216-262-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QG0250X Clinic/Center, Genetics |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |