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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. THEA NADINE BROWN RN (DIRECTOR)
(330) 328-0708
Entity
Organization

Contact information

Practice address
1654 IDLEWOOD AVE, AKRON, OH 44313-7430
(330) 328-0708
Mailing address
1654 IDLEWOOD AVE, AKRON, OH 44313-7430
(330) 328-0708

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
M7709706
OH

Other

Enumeration date
11/03/2010
Last updated
11/03/2016
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