Organization
EASTWAY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYBIL SAUM-JOHNSON (CHIEF OPERATIONS OFFICER)
(937) 496-2000
Entity
Organization
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 496-2000
(937) 463-2901
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 496-2000
(937) 463-2901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078525
—
OH
01
—
9159444
MEDICARE
OH
Enumeration date
01/11/2013
Last updated
06/16/2018
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