DARE TO BE DIFFERENT, LLC; NPI #1043924145

Contact Information

DARE TO BE DIFFERENT, LLC

471 EAST 1421STREET
CLEVELAND HEIGHTS, OH 44110

Phone: 501-313-9659
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for DARE TO BE DIFFERENT, LLC

NPI Number	`1043924145`
LBN Legal business name	DARE TO BE DIFFERENT, LLC
Authorized official	BERNICE PETTY - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/12/2023
Last updated	01/12/2023 - About 3 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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