Viviance Adult Day Health

NPI 1831480441 - Private Vehicle - 347C00000X

NPI Details
NPI 1831480441
Enumeration Date 04/29/2011
Last Updated 04/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name EDEISHA E EDEISHA
Position OWNER
Phone (419) 610-0057
Fax
Practice Location
522 PARK AVE W
MANSFIELD OH, 44906-3720, US
Phone (419) 610-0057
Fax
Business Location
454 BROADVIEW AVE
MANSFIELD OH, 44903-1946, US
Phone (419) 610-0057
Fax
Toxanomy
Taxonomy Code 347C00000X
License State Ohio
License Number RR817269
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According to our database, Viviance Adult Day Health NPI is 1831480441, taxonomy code is 347C00000X and license number is RR817269, license state is located at Ohio. Viviance Adult Day Health physically located at 522 Park Ave W, Mansfield OH, 44906-3720. NPI Number 1033115704 has the healthcare provider type.

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1831480441 NPI number is provided on an as is basis without warranty of any kind. 1831480441 is maintained by the National Plan & Provider Enumeration System. The contents of Viviance Adult Day Health are for informational purposes only.