MEDICARE: AJA PRINCIPLED LIVING GOOD COMPANY

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1891648846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJA PRINCIPLED LIVING GOOD COMPANY

Provider Business Mailing Address
First Line	:	4213 ROCKY RIVER DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-1109
Country	:	US
Telephone Number	:	740-669-6466
Fax Number	:

Provider Business Practice Location Address
First Line	:	4213 ROCKY RIVER DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-1109
Country	:	US
Telephone Number	:	740-669-6466
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. DANA PERKINS
Credential	:	ED.S,
Telephone Number	:	440-681-9044

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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