Organization
GIBSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA GIBSON (OWNER)
(330) 687-5642
Entity
Organization
Contact information
Practice address
1047 HARTFORD AVE, AKRON, OH 44320-2727
(330) 687-5642
Mailing address
1047 HARTFORD AVE, AKRON, OH 44320-2727
(330) 687-5642
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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