| |
1397 S Canfield Niles Rd, Unit 1, Austintown, OH 44515-4084 | |
(330) 270-5410 | |
(330) 270-5973 |
Full Name | |
---|---|
Type | Facility |
Speciality | Special Hospital |
Location | 1397 S Canfield Niles Rd, Austintown, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437568474 | NPI | - | NPPES |
2369619 | Medicaid | OH | |
36-0352 | Other | OH | CMS CERTIFICATION NUMBER |
Mailing Address | Practice Location Address |
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7630 Southern Blvd, Boardman, OH 44512-5633 Ph: (330) 729-8001 | 1397 S Canfield Niles Rd, Unit 1, Austintown, OH 44515-4084 Ph: (330) 270-5410 |