| NPI | 1558106393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROSEN Owner/Managing Employee 216-313-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-02-19 |