Jlc Services Inc. | |
3201 E Royalton Rd Broadview Heights OH 44147-2858 | |
(330) 687-0742 | |
Not Available |
Full Name | Jlc Services Inc. |
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Speciality | Psychiatry & Neurology |
Location | 3201 E Royalton Rd, Broadview Heights, Ohio |
Authorized Official Name and Position | Alyssa Love (CLINICAL OVERSIGHT MANAGER) |
Authorized Official Contact | 7404051036 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jlc Services Inc. 3201 E Royalton Rd Ste 30 Broadview Heights OH 44147-2858 Ph: () - | Jlc Services Inc. 3201 E Royalton Rd Broadview Heights OH 44147-2858 Ph: (330) 687-0742 |
NPI Number | 1417739699 |
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Provider Enumeration Date | 10/20/2023 |
Last Update Date | 07/12/2024 |
Certification Date | 07/12/2024 |
Medicare PECOS PAC ID | 3870931322 |
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Medicare Enrollment ID | O20240403003080 |
Identifier | Type | State | Issuer |
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1417739699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jeffrey Morris |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1174625842 PECOS PAC ID: 3072550912 Enrollment ID: I20050413000000 |
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