Organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NIEMEYER (CEO)
(330) 454-2000
Entity
Organization
Contact information
Practice address
830 AMHERST RD NE, MASSILLON, OH 44646-8518
(330) 454-2000
Mailing address
2725 LINCOLN ST E, CANTON, OH 44707-2769
(330) 454-2000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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