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NPI Code Detail

MEDICARE: EVER WELL COMMUNITY HEALTH

MEDICARE: EVER WELL COMMUNITY HEALTH
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 : 1891305157
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVER WELL COMMUNITY HEALTH
Provider Business Mailing Address
First Line : 4300 LYNN RD STE 201
Second Line :
City : RAVENNA
State : OH
Zip : 44266-7838
Country : US
Telephone Number : 216-264-0008
Fax Number :
Provider Business Practice Location Address
First Line : 4300 LYNN RD STE 201
Second Line :
City : RAVENNA
State : OH
Zip : 44266-7838
Country : US
Telephone Number : 216-264-0008
Fax Number :
Authorized Official
Title or Position : CEO
Name : ERICA SPENCER
Credential : LPCC-S
Telephone Number : 330-730-8692
Provider Enumeration Date : 08/03/2020
Last Update Date : 08/03/2020

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Directions to “EVER WELL COMMUNITY HEALTH ” Practice Location

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