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General NPI Number Information
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NPI Number | 1861205221
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Entity Type | Organization
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Legal Business Name | PICTURE ME PERFECT
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 26300 EUCLID AVE
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City | EUCLID
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State | OH
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Zip | 44132-3708
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Country | US
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Telephone | 216-463-3148
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Fax |
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Provider Business Mailing Address
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Address Line | 26646 LOGANBERRY DR
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City | RICHMOND HTS
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State | OH
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Zip | 44143-1122
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Country | US
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Telephone | 216-463-3148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LILLIAN GRAY
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Credential |
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Telephone | 216-463-3148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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