Organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Active
Organization
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC NIEMEYER JD, MBA (CHIEF EXECUTIVE OFFICER)
(330) 454-2000
Entity
Organization
Contact information
Practice address
715 2ND ST NE, CANTON, OH 44704-1128
(330) 454-2000
Mailing address
2725 LINCOLN ST E, CANTON, OH 44707-2769
(330) 454-2000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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