Healthcare Provider Details

I. General information

NPI: 1528520533
Provider Name (Legal Business Name): CARE ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2439 E 55TH ST FL 2
CLEVELAND OH
44104-1501
US

IV. Provider business mailing address

1530 SAINT CLAIR AVE NE
CLEVELAND OH
44114-2004
US

V. Phone/Fax

Practice location:
  • Phone: 216-535-9100
  • Fax: 216-298-5015
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: YULANDA K LEE
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 216-535-9100