Organization
COUNTYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BOASTEN (CONSULTANT)
(330) 253-6368
Entity
Organization
Contact information
Practice address
631 W EXCHANGE ST, SUITE C, AKRON, OH 44302-1364
(330) 253-6368
Mailing address
631 W EXCHANGE ST, SUITE C, AKRON, OH 44302-1364
(330) 253-6368
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/21/2009
Last updated
03/21/2009
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