Organization
QUALITY HEALTHCARE OF NORTHEAST OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY LAVERN ROBERTS-ATWATER DO PHD (CEO)
(330) 841-3902
Entity
Organization
Contact information
Practice address
8747 SQUIRES LN NE, WARREN, OH 44484-1649
(330) 841-3902
(814) 446-8043
Mailing address
PO BOX 555, BESSEMER, PA 16112-0555
(724) 667-9596
(724) 667-4100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34007354R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076415
—
OH
Enumeration date
06/30/2005
Last updated
11/04/2010
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