Organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC.
Active
Organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MCPEEK (CFO)
(234) 521-7213
Entity
Organization
Contact information
Practice address
820 AMHERST RD NE, MASSILLON, OH 44646-8525
(303) 454-2000
(330) 454-6184
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171070
—
OH
Enumeration date
11/20/2015
Last updated
05/02/2019
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