Organization
VILLAGE OF BRADY LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETHEL NEMETH (FINANCE)
(330) 673-0365
Entity
Organization
Contact information
Practice address
2123 MERRILL STREET, RAVENNA, OH 44266
(330) 673-0365
(330) 673-5998
Mailing address
2123 MERRILL STREET, RAVENNA, OH 44266
(330) 673-0365
(330) 673-5998
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2492977
—
OH
Enumeration date
04/27/2007
Last updated
08/22/2020
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