Provider Demographics
NPI:1356119895
Name:FORENP LLC
Entity type:Organization
Organization Name:FORENP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORE-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:216-815-1624
Mailing Address - Street 1:159 CROCKER PARK BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-8147
Mailing Address - Country:US
Mailing Address - Phone:216-815-1624
Mailing Address - Fax:216-930-5928
Practice Address - Street 1:159 CROCKER PARK BLVD STE 400
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-8147
Practice Address - Country:US
Practice Address - Phone:216-815-1624
Practice Address - Fax:216-930-5928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty