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Organization

MIDWEST HEALTH SERVICES INC.

Active
Other names
Midwest Health Services Home 2
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSPEH KNETZER (OWNER)
(330) 832-9582
Entity
Organization

Contact information

Practice address
1608 FOREST AVE SE, MASSILLON, OH 44646-8330
(330) 832-2797
Mailing address
11 LINCOLN WAY W, STE 5A, MASSILLON, OH 44647-6585
(330) 832-9582
(330) 833-7732

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
7610713
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2940483
MEDICAID VENDOR NUMBER
OH
Enumeration date
07/20/2009
Last updated
02/13/2012
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