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Contact Information

DEMER RETAIL VENTURES MH, LLC
3505 WESTGATE
D416
FAIRVIEW PARK, OH44126-1331
 Phone: 440-973-8627
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Pain

261QP3300X
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
 

Rehabilitation, Substance Use Disorder Unit

276400000X
Indicates primary specialty

NPI Profile & details for DEMER RETAIL VENTURES MH, LLC

NPI # 1225446321
LBN Legal business name DEMER RETAIL VENTURES MH, LLC
Authorized official DAVID DEMER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2014
Last updated 08/01/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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