# SURGERY CENTER OF CANFIELD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043209653
- **Authorized official:** JENETHA D MORAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (972) 763-3893

## Contact information

- **Practice address:** 4147 WESTFORD DR, CANFIELD, OH 44406-8086
- **Practice address phone:** (330) 702-1489
- **Practice address fax:** (330) 702-1545
- **Mailing address:** 4147 WESTFORD DR, CANFIELD, OH 44406-8086
- **Mailing address phone:** (330) 702-1489
- **Mailing address fax:** (330) 702-1545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0734AS | OH | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 10/11/2017