Organization
TRI-STATE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD BUNCH (PRESIDENT)
(216) 703-5454
Entity
Organization
Contact information
Practice address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(216) 703-5454
Mailing address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(216) 703-5454
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SJ664911
OH
Other
Enumeration date
11/14/2016
Last updated
11/15/2016
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