Organization
BUREAU OF LONG-TERM CARE SERVICES AND SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH BREANNA HANSON (LPN)
(330) 780-1270
Entity
Organization
Contact information
Practice address
818 KICKAPOO AVE, AKRON, OH 44305-1208
(330) 780-1270
Mailing address
818 KICKAPOO AVE, AKRON, OH 44305-1208
(330) 780-1270
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PN 109895
OH
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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