Healthcare Provider Details

I. General information

NPI: 1538257985
Provider Name (Legal Business Name): PROSEARCH HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 RUBYVALE RD
UNIVERSITY HTS OH
44118-4619
US

IV. Provider business mailing address

2503 RUBYVALE RD
UNIVERSITY HTS OH
44118-4619
US

V. Phone/Fax

Practice location:
  • Phone: 216-406-4323
  • Fax:
Mailing address:
  • Phone: 216-406-4323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-02671
License Number StateOH

VIII. Authorized Official

Name: LAURIE L MANDEL
Title or Position: DIRECTOR
Credential: CNP
Phone: 216-406-4323