NPI 1407475080

Fundamentals First Basketball Academy , LLC

Organisation Early Intervention Provider Agency Cleveland, OH

Practice location

Address: 977 Eddy Rd., Cleveland, OH 44108
Phone: (216) 269-1535

Authorised official

Name: Wesley Fluellen
Title: Ceo
Phone: (216) 269-1535

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Ohio →

Registry record

NPI: 1407475080
Entity type: Organization
NPI issued: 13 Apr 2020
Record last updated: 13 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.