Organization
CHAUNTELLE ANDREWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAUNTELLE ANDREWS (INDEPENDENT PROVIDER)
(330) 313-6266
Entity
Organization
Contact information
Practice address
3210 14TH ST SW, CANTON, OH 44710
(330) 313-6266
Mailing address
3210 14TH ST SW, CANTON, OH 44710-2328
(330) 313-6266
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
0185349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185349
—
OH
Enumeration date
01/30/2017
Last updated
01/30/2017
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