Organization
CHILDREN'S REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C FOSTER (EXECUTIVE DIRECTOR)
(330) 856-2107
Entity
Organization
Contact information
Practice address
885 HOWLAND WILSON RD NE, WARREN, OH 44484-2115
(330) 856-2107
(330) 856-2107
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8674500
—
OH
Enumeration date
03/02/2007
Last updated
03/02/2015
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