# BUREAU OF LONG-TERM CARE SERVICES AND SUPPORTS

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

## Provider details

- **NPI number:** 1104122340
- **Authorized official:** MRS. SARAH BREANNA HANSON (LPN)
- **Authorized official phone:** (330) 780-1270

## Contact information

- **Practice address:** 818 KICKAPOO AVE, AKRON, OH 44305-1208
- **Practice address phone:** (330) 780-1270
- **Mailing address:** 818 KICKAPOO AVE, AKRON, OH 44305-1208
- **Mailing address phone:** (330) 780-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | PN 109895 | OH | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 02/07/2011