| Still Waters Life Center, Llc | |
|
10277 Valley View Rd Macedonia OH 44056-1740 | |
| (440) 829-1788 | |
| (440) 888-1970 |
| Full Name | Still Waters Life Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10277 Valley View Rd, Macedonia, Ohio |
| Authorized Official Name and Position | Connie V Chrosniak (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 4408291788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Waters Life Center, Llc Po Box 347134 Parma OH 44134-7134 Ph: (440) 829-1788 | Still Waters Life Center, Llc 10277 Valley View Rd Macedonia OH 44056-1740 Ph: (440) 829-1788 |
| NPI Number | 1578987517 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 02/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578987517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C.0090570 (Ohio) | Primary |
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