MEDICARE: KEY DECISIONS 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
1	251S00000X	Community/Behavioral Health Agency		OH

Other Identifiers

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

General Provider Information

NPI Number	:	1366635286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY DECISIONS INC

Provider Business Mailing Address
First Line	:	PO BOX 10844
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-0844
Country	:	US
Telephone Number	:	216-391-0977
Fax Number	:	216-391-0978

Provider Business Practice Location Address
First Line	:	3030 EUCLID AVE
Second Line	:	SUITE 410
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2530
Country	:	US
Telephone Number	:	216-391-0977
Fax Number	:	216-391-0978

Authorized Official
Title or Position	:	OWNER
Name	:	MR. OWEN R TAYLOR
Credential	:	LICDC
Telephone Number	:	216-391-0977

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	10/15/2020

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Directions to “KEY DECISIONS INC ” Practice Location

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