# COUNTYCARE

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

## Provider details

- **NPI number:** 1235370263
- **Authorized official:** MICHELLE BOASTEN (CONSULTANT)
- **Authorized official phone:** (330) 253-6368

## Contact information

- **Practice address:** 631 W EXCHANGE ST, SUITE C, AKRON, OH 44302-1364
- **Practice address phone:** (330) 253-6368
- **Mailing address:** 631 W EXCHANGE ST, SUITE C, AKRON, OH 44302-1364
- **Mailing address phone:** (330) 253-6368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2009
- **Last updated:** 03/21/2009