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NPI Code Detail

MEDICARE: POWER OF LIFE, LLC

MEDICARE: POWER OF LIFE, LLC
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
1111N00000XChiropractor3913OH

General Provider Information

NPI Number : 1922230861
Entity Type Code : Organization
Provider Name (Legal Business Name) : POWER OF LIFE, LLC
Provider Business Mailing Address
First Line : PO BOX 161085
Second Line :
City : ROCKY RIVER
State : OH
Zip : 44116-7000
Country : US
Telephone Number : 440-331-4744
Fax Number :
Provider Business Practice Location Address
First Line : 19930 DETROIT RD
Second Line :
City : ROCKY RIVER
State : OH
Zip : 44116-1837
Country : US
Telephone Number : 440-331-4744
Fax Number :
Authorized Official
Title or Position : PRES
Name : DR. BRYAN G. RUOCCO
Credential : D.C.
Telephone Number : 440-331-4744
Provider Enumeration Date : 08/11/2009
Last Update Date : 08/11/2009

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Directions to “POWER OF LIFE, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.