Provider Demographics
NPI:1295954105
Name:A BEAUTIFUL YOU
Entity type:Organization
Organization Name:A BEAUTIFUL YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WIG CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GOLDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-297-0980
Mailing Address - Street 1:2451 MILTON RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4634
Mailing Address - Country:US
Mailing Address - Phone:216-297-0980
Mailing Address - Fax:
Practice Address - Street 1:2451 MILTON RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4634
Practice Address - Country:US
Practice Address - Phone:216-297-0980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH282NW0100X, 320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered282NW0100XHospitalsGeneral Acute Care HospitalWomen
Not Answered320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities