| |
2959 Canfield Rd, Youngstown, OH 44511-2800 | |
(330) 799-1680 | |
(234) 855-0508 |
Full Name | |
---|---|
Type | Facility |
Speciality | Special Hospital |
Location | 2959 Canfield Rd, Youngstown, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336558378 | NPI | - | NPPES |
2369619 | Medicaid | OH | |
36-0352 | Other | OH | CMS CERTIFICATION NUMBER |
Mailing Address | Practice Location Address |
---|---|
7630 Southern Blvd, Boardman, OH 44512-5633 Ph: (330) 729-8001 | 2959 Canfield Rd, Youngstown, OH 44511-2800 Ph: (330) 799-1680 |