| Cielo Vitality Health & Wellness Center Llc | |
|
36336 Vine St Suite 100 Willowick OH 44095-3164 | |
| (216) 261-6398 | |
| (216) 261-6398 |
| Full Name | Cielo Vitality Health & Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 36336 Vine St, Willowick, Ohio |
| Authorized Official Name and Position | Donavon Huff (VP. OF OPERATIONS) |
| Authorized Official Contact | 2162616398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cielo Vitality Health & Wellness Center Llc 36336 Vine Street Suite 100 Eastlake OH 44095 Ph: (216) 261-6398 | Cielo Vitality Health & Wellness Center Llc 36336 Vine St Suite 100 Willowick OH 44095-3164 Ph: (216) 261-6398 |
| NPI Number | 1649672106 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649672106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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