| |
4691 Windfall Rd Medina OH 44256-8705 | |
(330) 725-7751 | |
(330) 722-4854 |
Full Name | |
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Speciality | Technician - Personal Care Attendant |
Location | 4691 Windfall Rd, Medina, Ohio |
Authorized Official Name and Position | Nancy Coerver (BUSINESS MANAGER) |
Authorized Official Contact | 3307257751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4691 Windfall Rd Medina OH 44256-8705 Ph: (330) 725-7751 | 4691 Windfall Rd Medina OH 44256-8705 Ph: (330) 725-7751 |
NPI Number | 1609968213 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609968213 | NPI | - | NPPES |
0671312 | Medicaid | OH | |
2567306 | Medicaid | OH |
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