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NPI Code Detail

MEDICARE: SIGNATURE HEALTH, INC

MEDICARE: SIGNATURE HEALTH, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174884787
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIGNATURE HEALTH, INC
Provider Business Mailing Address
First Line : 38876 MENTOR AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-7931
Country : US
Telephone Number : 440-953-9999
Fax Number : 440-918-3839
Provider Business Practice Location Address
First Line : 38876 MENTOR AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-7931
Country : US
Telephone Number : 440-953-9999
Fax Number : 440-918-3839
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. JONATHAN A LEE
Credential :
Telephone Number : 440-953-9999
Provider Enumeration Date : 05/31/2012
Last Update Date : 04/14/2025

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Directions to “SIGNATURE HEALTH, INC ” Practice Location

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