| Amyra Support Services Of Ohio , Llc | |
|
11811 Shaker Blvd Ste 113d Cleveland OH 44120-1927 | |
| (216) 759-5467 | |
| (216) 759-5460 |
| Full Name | Amyra Support Services Of Ohio , Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11811 Shaker Blvd Ste 113d, Cleveland, Ohio |
| Authorized Official Name and Position | Myra E. Ancar (CEO) |
| Authorized Official Contact | 2167955467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amyra Support Services Of Ohio , Llc 3513 E 113th St Cleveland OH 44105-1829 Ph: (216) 860-5228 | Amyra Support Services Of Ohio , Llc 11811 Shaker Blvd Ste 113d Cleveland OH 44120-1927 Ph: (216) 759-5467 |
| NPI Number | 1649899048 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649899048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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