| Lssouth | |
|
2728 Euclid Ave Ste 400 Cleveland OH 44115-2429 | |
| (216) 236-3028 | |
| (800) 901-0720 |
| Full Name | Lssouth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2728 Euclid Ave Ste 400, Cleveland, Ohio |
| Authorized Official Name and Position | Gia Hopkins (CE0/HUMAN RESOURCES) |
| Authorized Official Contact | 2162363028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lssouth 2728 Euclid Ave Ste 400 Cleveland OH 44115-2429 Ph: (216) 236-3028 | Lssouth 2728 Euclid Ave Ste 400 Cleveland OH 44115-2429 Ph: (216) 236-3028 |
| NPI Number | 1578962957 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578962957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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