Revolution Wellness LLC

NPI #1407291545 in Hubbard, Ohio

Provider Information

NPI Number
1407291545
Entity Type
Organization
Organization Name
Revolution Wellness LLC
Primary Specialty
Case Management
Enumeration Date
May 2, 2013
Last Updated
May 2, 2013

Practice Location

Address
455 GRANDVIEW AVE
State
Ohio
ZIP Code
44425-2218
Phone
(330) 307-4396

Authorized Official

Name
MR. GEORGE DELANO SUMMERS III, MS ED
Title
OWNER
Phone
(330) 307-4396

Specialties & Taxonomy Codes

Specialty
Case Management

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