Organization
LIFELINE PARTNERS OF CANTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN BURGDORF BS (PRESIDENT)
(330) 759-9233
Entity
Organization
Contact information
Practice address
6520 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7340
(330) 494-7297
(330) 494-7365
Mailing address
6520 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7340
(330) 494-7297
(330) 494-7365
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
10/25/2010
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