Revolution Wellness Center Llc
LBN: Revolution Wellness Center Llc
Revolution Wellness Center Llc is an health care organization with primary practice located at 17535 Rosbough Blvd Ste 202 , Middleburg Heights OH 44130-8362. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Revolution Wellness Center Llc can be contacted via phone (216) 772-3310, or through Davis, Jennifer Adrienne via phone (216) 772-3310.
Contact Information
Primary practice address
17535 Rosbough Blvd Ste 202
Middleburg Heights OH 44130-8362
Phone: (216) 772-3310
Fax: (216) 251-8502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
NPI number | 1013611490 |
---|---|
LBN Legal business name | Revolution Wellness Center Llc |
DBA Doing business as | |
Authorized official | Davis, Jennifer Adrienne PHD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 29th, 2023 |
Last updated | Apr 9th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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