Organization
FAMILY STATCARE OF NORTHEAST OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN FILBERT (OWNER)
(330) 416-6153
Entity
Organization
Contact information
Practice address
175 GREAT OAKS TRL, WADSWORTH, OH 44281-8712
(330) 336-3588
(330) 336-1328
Mailing address
230 QUADRAL DR, SUITE B, WADSWORTH, OH 44281-8376
(330) 336-3280
(330) 336-5325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939511
—
OH
Enumeration date
11/05/2008
Last updated
03/26/2015
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