OrganizationActive
Fundamentals First Basketball Academy , LLC
NPI 1407475080 · Early Intervention Provider Agency · Cleveland, OH
Provider details
- NPI number
- 1407475080
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wesley Fluellen, Ceo(216) 269-1535
Specialties & taxonomies
Agencies
Practice location
977 Eddy Rd.
Cleveland, OH 44108
Phone: (216) 269-1535
Approximate (ZIP-level) locationGet directions
Mailing address
977 Eddy Rd.
Cleveland, OH 44108
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2020-04-13
- Certified
- 2020-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.