Organization
ADVANCED REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURTIS WAYNE MANGES (CO-OWNER)
(330) 948-1107
Entity
Organization
Contact information
Practice address
645 LAFAYETTE RD, MEDINA, OH 44256-2341
(330) 952-1031
Mailing address
645 LAFAYETTE RD, MEDINA, OH 44256-2341
(330) 952-1031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
04/04/2010
Last updated
01/30/2011
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