MEDICARE: SOUTHEAST LIFEFORCE CORPORATION

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1962795062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHEAST LIFEFORCE CORPORATION

Provider Business Mailing Address
First Line	:	8549 ANTLERS TRL
Second Line	:
City	:	N RIDGEVILLE
State	:	OH
Zip	:	44039-6406
Country	:	US
Telephone Number	:	216-514-9590
Fax Number	:	216-514-9592

Provider Business Practice Location Address
First Line	:	23131 EMERY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5136
Country	:	US
Telephone Number	:	216-514-9590
Fax Number	:	216-514-9592

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES G O'REILLY
Credential	:	DC
Telephone Number	:	216-514-9590

Provider Enumeration Date	:	05/23/2011
Last Update Date	:	05/23/2011

Similar Medicare Providers

1043232267 — LINK-UP HEALTH SERVICES&DME
Practice Location Address:

23121 EMERY RD , WARRENSVILLE HEGHTS
CLEVELAND, OH
44128-5136

Practice Phone: 216-378-9860
Practice Fax: 216-591-9456

1255572749 — ORTHOPAEDICS & SPORTS MEDICINE OF OHIO, LLC
Practice Location Address:

23121 EMERY RD
CLEVELAND, OH
44128-5136

Practice Phone: 216-292-6766
Practice Fax: 216-292-6761

1033447818 — MADELYN HAYES LMT
Practice Location Address:

23131 EMERY RD
CLEVELAND, OH
44128-5136

Practice Phone: 216-514-9590
Practice Fax:

1841510724 — MS. DANNA L. MITCHELL L.M.T.
Practice Location Address:

23121 EMERY RD
CLEVELAND, OH
44128-5136

Practice Phone: 216-514-9590
Practice Fax:

1528379922 — CHRISTI L GREENE LMT
Practice Location Address:

23131 EMERY RD
CLEVELAND, OH
44128-5136

Practice Phone: 216-514-9590
Practice Fax:

1902104987 — DR. ALLEN SCOTT HOOVER JR. D.C.
Practice Location Address:

23131 EMERY RD
CLEVELAND, OH
44128-5136

Practice Phone: 216-514-9590
Practice Fax: 216-514-9592

Directions to “SOUTHEAST LIFEFORCE CORPORATION ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.