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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