Organization
FOUR SEASONS HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE A STANICH (ADMINISTRATOR)
(330) 733-0100
Entity
Organization
Contact information
Practice address
2165 EASTWOOD AVE, AKRON, OH 44305-2179
(330) 733-0100
Mailing address
2165 EASTWOOD AVE, AKRON, OH 44305-2179
(330) 733-0100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076633
—
OH
05
—
3111199
—
OH
Enumeration date
12/16/2009
Last updated
05/26/2016
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