| NPI | 1891756870 |
|---|---|
| Former Legal Business Name | EAST LIVERPOOL PROFESSIONALS, LLC |
| Entity Type | Organization |
| Authorized Contact | BETH A WEIR Executive Director 330-386-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2013-10-16 |