Ccf

NPI #1528361169 in Shaker Heights, Ohio

Provider Information

NPI Number
1528361169
Entity Type
Organization
Organization Name
Ccf
Primary Specialty
Chronic Disease Hospital
Enumeration Date
Dec 20, 2010
Last Updated
Dec 20, 2010

Practice Location

Address
18675 PARKLAND DR APT 403
State
Ohio
ZIP Code
44122-3467
Phone
(404) 451-2439

Authorized Official

Name
MR. OSAMA ESSA
Title
RESIDENT
Phone
(404) 451-2232

Specialties & Taxonomy Codes

Specialty
Chronic Disease Hospital

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Provider Name
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Part of Promedica Health System

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