| Living Well Holistic Health, Llc | |
|
15065 Kinsman Rd Ste 8 Middlefield OH 44062-9494 | |
| (440) 632-5814 | |
| Not Available |
| Full Name | Living Well Holistic Health, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 15065 Kinsman Rd Ste 8, Middlefield, Ohio |
| Authorized Official Name and Position | Jason Roskelly (OWNER) |
| Authorized Official Contact | 4406325814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Holistic Health, Llc 15065 Kinsman Rd Ste 8 Middlefield OH 44062-9494 Ph: (440) 632-5814 | Living Well Holistic Health, Llc 15065 Kinsman Rd Ste 8 Middlefield OH 44062-9494 Ph: (440) 632-5814 |
| NPI Number | 1578184586 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578184586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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