The Lorenzo G Jackson Foundation
Organization Active NPI Health Maintenance Organization · Cleveland, OH
NPI 1154555175 · NPPES record last updated May 5, 2009
Key facts
- NPI
- 1154555175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- Legal business name
- THE LORENZO G JACKSON FOUNDATION
- Practice address
- 4756 E 174TH St
Cleveland, OH 44128-3924 - Phone
- (216) 799-8292
- NPI assigned
- May 5, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Edward Johnson Jr., M.S.
- Title
- Ceo
- Phone
- (216) 799-8292
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Yes |
Addresses
Primary practice location
4756 E 174TH St
Cleveland, OH 44128-3924
Mailing address
4756 E 174TH St
Cleveland, OH 44128-3924
Phone (216) 799-8292
Other providers in Cleveland, OH
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- The Journey Ahead Home Health Care Agency
- The L.I.F.E. Group, LLC
- The LD Edge Network
- The Link, LTD.
- The Love of One Home Health Care LLC
- The Majastan Group
- The Metrohealth System
- The Metrohealth System
- The Metrohealth System
All providers in Cleveland, OH · Health Maintenance Organization in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.