Organization
KORTO SULONGTEH-NELSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTO SULONGTEH-NELSON NURSE PRACTITIONER (OWNER)
(330) 310-6812
Entity
Organization
Contact information
Practice address
1841 FAIRLAWN KNOLLS DR, AKRON, OH 44313-5435
(330) 310-6812
Mailing address
1841 FAIRLAWN KNOLLS DR, AKRON, OH 44313-5435
(330) 310-6812
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
COA 14717
OH
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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