Healthcare Provider Details

I. General information

NPI: 1801726484
Provider Name (Legal Business Name): GIA SOLE SCARED ROOTS HOLISTIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27801 MILLS AVE APT M
EUCLID OH
44132-3038
US

IV. Provider business mailing address

6545 MARKET AVE N STE 100
CANTON OH
44721-2430
US

V. Phone/Fax

Practice location:
  • Phone: 440-368-3850
  • Fax:
Mailing address:
  • Phone: 440-368-3850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELICA PAGE
Title or Position: OWNER
Credential:
Phone: 216-210-2430