| NPI Details | |
|---|---|
| NPI | 1033303987 |
| Enumeration Date | 09/04/2007 |
| Last Updated | 09/04/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | DAVID MARTIN DAVID |
| Position | C.E.O. |
| Phone | (330) 454-8719 |
| Fax | |
| Practice Location | |
|---|---|
| 1021 ROSLYN AVE SW CANTON OH, 44710-1907, US |
|
| Phone | (330) 454-8719 |
| Fax | |
| Business Location | |
|---|---|
| 1021 ROSLYN AVE SW CANTON OH, 44710-1907, US |
|
| Phone | (330) 454-8719 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 343900000X |
| License State | Ohio |
| License Number | 7603856 |
| Remove 1033303987 NPI Number | |
According to our database, Avenue To Independence Llc NPI is 1033303987, taxonomy code is 343900000X and license number is 7603856, license state is located at Ohio. Avenue To Independence Llc physically located at 1021 Roslyn Ave Sw, Canton OH, 44710-1907. NPI Number 1033115704 has the healthcare provider type.
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1033303987 NPI number is provided on an as is basis without warranty of any kind. 1033303987 is maintained by the National Plan & Provider Enumeration System. The contents of Avenue To Independence Llc are for informational purposes only.
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