Organization
MAISON AINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY JOYE (ADMINISTRATOR)
(330) 688-1188
Entity
Organization
Contact information
Practice address
2910 LERMITAGE PL, STOW, OH 44224-5219
(330) 688-1188
(330) 688-1278
Mailing address
2910 LERMITAGE PL, STOW, OH 44224-5219
(330) 688-1188
(330) 688-1278
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
311500000X
OH
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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