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NPI Code Detail

MEDICARE: EMPOWER DW CORP

MEDICARE: EMPOWER DW CORP
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1396429122
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWER DW CORP
Provider Business Mailing Address
First Line : 4705 STATE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-5244
Country : US
Telephone Number : 440-558-7970
Fax Number :
Provider Business Practice Location Address
First Line : 4705 STATE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-5244
Country : US
Telephone Number : 440-468-6550
Fax Number : 216-291-7683
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MICHELLE LYNN MARINI-REINOSA
Credential : CDCA
Telephone Number : 440-468-6550
Provider Enumeration Date : 06/12/2023
Last Update Date : 07/22/2025

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Directions to “EMPOWER DW CORP ” Practice Location

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