Organization Name: | MASSILLON HEALTH DEPT |
NPI Number: | 1083828305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA JENAY MARTIN (DIRECTOR OF NURSING) |
Mailing Address: | 111 Tremont Ave Sw Massillon |
State: | OH US |
Postal Code: | 446476571 |
Phone Number: | 3308301713 |
Fax Number: | 3308302852 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
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