# EAST MENTOR FAMILY CHIROPRACTIC & REHABILITATION, INC.

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

## Provider details

- **NPI number:** 1487775706
- **Authorized official:** DR. MATTHEW RUSSELL WARD D.C. (PRESIDENT)
- **Authorized official phone:** (440) 974-8557

## Contact information

- **Practice address:** 6966 HEISLEY RD, SUITE F, MENTOR, OH 44060-4593
- **Practice address phone:** (440) 974-8557
- **Practice address fax:** (440) 255-6337
- **Mailing address:** 6966 HEISLEY RD, SUITE F, MENTOR, OH 44060-4593
- **Mailing address phone:** (440) 974-8557
- **Mailing address fax:** (440) 255-6337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2782 | OH | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 06/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2131571 | — | OH |