| NPI | 1891317079 |
|---|---|
| Doing Business As | ADVANTACLEAN OF THE WEST SIDE |
| Entity Type | Organization |
| Authorized Contact | DREW LOUIS LIPOLD Owner 330-807-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-12 |