Basic Information
| Provider Information | |||||||||
| NPI: | 1386307254 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEO TOTAL HEALTH AND WELLNESS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2500 METROHEALTH DR | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441091900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167787800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5855 HARPER RD STE A | ||||||||
| Address2: | |||||||||
| City: | SOLON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441391832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4405926105 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2021 | ||||||||
| LastUpdateDate: | 06/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | CHEHADE | ||||||||
| AuthorizedOfficialFirstName: | NABIL | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF TRANSFORMATION OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 2167784900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 05/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.