Healthcare Provider Details

I. General information

NPI: 1982730610
Provider Name (Legal Business Name): UNITED DISABILITY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 01/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S MAIN ST
AKRON OH
44311-1019
US

IV. Provider business mailing address

701 S MAIN ST
AKRON OH
44311-1019
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-9755
  • Fax: 330-379-3335
Mailing address:
  • Phone: 330-762-9755
  • Fax: 330-762-0912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number014927
License Number StateOH

VIII. Authorized Official

Name: GARY KNUTH
Title or Position: CEO
Credential:
Phone: 330-762-9755