| NPI | 1952713331 |
|---|---|
| Doing Business As | HEALTHSPAN PHYSICIANS - MENTOR |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MILECA Revenue Cycle Manager 216-265-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-09-22 |