Provider Demographics
NPI:1407228851
Name:RITAS ELECTROLYSIS CLINIC & PERSONAL CARE CENTER LLC
Entity Type:Organization
Organization Name:RITAS ELECTROLYSIS CLINIC & PERSONAL CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ELECTROLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:OLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CT
Authorized Official - Phone:440-835-1047
Mailing Address - Street 1:27540 DETROIT RD
Mailing Address - Street 2:STE 105
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2299
Mailing Address - Country:US
Mailing Address - Phone:440-835-1047
Mailing Address - Fax:
Practice Address - Street 1:27540 DETROIT RD
Practice Address - Street 2:STE 105
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2299
Practice Address - Country:US
Practice Address - Phone:440-835-1047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH32.003835-N-R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty