Organization
EATON TOWNSHIP TTEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB RESAR (CHIEF)
(440) 503-3296
Entity
Organization
Contact information
Practice address
35955 E ROYALTON RD, GRAFTON, OH 44044
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325211
ANTHEM
OH
05
—
2539248
—
OH
Enumeration date
07/09/2006
Last updated
05/24/2024
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