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Organization

MIDWEST HEALTH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONNIE A HORNBECK (BUSINESS MANAGER)
(330) 832-9582
Entity
Organization

Contact information

Practice address
11 LINCOLN WAY W, 5A, MASSILLON, OH 44647-6585
(330) 832-9582
(330) 833-1305
Mailing address
11 LINCOLN WAY W, 5A, MASSILLON, OH 44647-6585
(330) 832-9582
(330) 833-1305

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M8500321
CONTRACT NUMBER ODMRDD
OH
Enumeration date
09/26/2006
Last updated
08/02/2007
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