Provider Demographics
NPI:1124610829
Name:ESSENTIAL WOMAN HEALTH LLC
Entity type:Organization
Organization Name:ESSENTIAL WOMAN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TENIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-571-1919
Mailing Address - Street 1:17325 EUCLID AVE STE 3146
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1256
Mailing Address - Country:US
Mailing Address - Phone:216-571-1919
Mailing Address - Fax:
Practice Address - Street 1:17325 EUCLID AVE STE 3146
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1256
Practice Address - Country:US
Practice Address - Phone:216-571-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36D2211257OtherCLIA