Individual
NICK FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 LIBERTY ST, PAINESVILLE, OH 44077-3331
(440) 357-6181
Mailing address
18473 MUMFORD RD, GARRETTSVILLE, OH 44231-9505
(440) 488-3771
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT016532
OH
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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