OrganizationActive
The Lorenzo G Jackson Foundation
NPI 1154555175 · Health Maintenance Organization · Cleveland, OH
Provider details
- NPI number
- 1154555175
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Edward Johnson, Ceo(216) 799-8292
Specialties & taxonomies
Managed Care Organizations
Practice location
4756 E 174th St
Cleveland, OH 44128-3924
Phone: (216) 799-8292
Approximate (ZIP-level) locationGet directions
Mailing address
4756 E 174th St
Cleveland, OH 44128-3924
Registry dates
- Enumerated
- 2009-05-05
- Last updated
- 2009-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.