MEDICARE: RMONI LONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	261QA0600X	Adult Day Care Clinic/Center
3	3747P1801X	Personal Care Attendant
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1154122018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RMONI LONG

Provider Business Mailing Address
First Line	:	1001 PEERLESS AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-3639
Country	:	US
Telephone Number	:	330-860-3680
Fax Number	:	330-860-3680

Provider Business Practice Location Address
First Line	:	1001 PEERLESS AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-3639
Country	:	US
Telephone Number	:	330-860-3680
Fax Number	:	330-860-3680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	03/24/2025

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Directions to “ RMONI LONG ” Practice Location

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