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Organization

EASTWAY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT GROSKOPF (CFO)
(937) 496-2000
Entity
Organization

Contact information

Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 496-2000
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 496-2000

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0288997
OH
01
1811920556
NPI
OH
01
261QM0850X
TAXONOMY
OH
Enumeration date
09/18/2008
Last updated
09/18/2008
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