Provider Demographics
NPI:1306307111
Name:THE CHERIZA GROUP, LLC
Entity type:Organization
Organization Name:THE CHERIZA GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERIZA
Authorized Official - Suffix:
Authorized Official - Credentials:MSL
Authorized Official - Phone:561-252-3735
Mailing Address - Street 1:6162 SHERWOOD GLEN WAY APT 3
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6981
Mailing Address - Country:US
Mailing Address - Phone:561-252-3735
Mailing Address - Fax:
Practice Address - Street 1:6162 SHERWOOD GLEN WAY APT 3
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-6981
Practice Address - Country:US
Practice Address - Phone:561-252-3735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management