Individual
DAVID E CHILDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 CHERRY AVE, ALLIANCE, OH 44601-5022
(330) 821-3939
(330) 829-9734
Mailing address
360 WABASH AVE N, BREWSTER, OH 44613-1042
(330) 767-3451
(330) 767-3452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0574196
—
OH
Enumeration date
11/15/2012
Last updated
11/15/2012
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