Organization
PARAGON HEALTH ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE L MICK (MEDICAL CREDENTIALING CONSULTANT)
(234) 855-6458
Entity
Organization
Contact information
Practice address
468 E MARKET ST, AKRON, OH 44304-1594
(330) 869-9777
(330) 869-0052
Mailing address
1 PARK WEST BLVD, SUITE 200, AKRON, OH 44320-4218
(330) 869-9777
(330) 869-0052
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2856208
—
OH
Enumeration date
05/29/2008
Last updated
06/05/2013
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