NPI 1407363849

Provider Services LLC

Organisation Nursing Facility/Intermediate Care Facility Canton, OH

Practice location

Address: 3071 Dunbarton Ave NW, Canton, OH 44708-1818
Phone: (330) 605-4541

Authorised official

Name: Susan B Coss
Title: Owner
Phone: (330) 605-4541

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X

Other Nursing Facility/Intermediate Care Facility providers in Ohio →

Registry record

NPI: 1407363849
Entity type: Organization
NPI issued: 8 Jan 2018
Record last updated: 8 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.