Individual
ANTHONY F IERACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 STARRS CENTRE DR, CANFIELD, OH 44406-9514
(330) 967-4056
Mailing address
3680 STARRS CENTRE DR, CANFIELD, OH 44406-9514
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
5005902
OH
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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