Healthcare Provider Details

I. General information

NPI: 1134834971
Provider Name (Legal Business Name): SYDNEY BLAIR BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 WOLF LEDGES PKWY
AKRON OH
44311-1028
US

IV. Provider business mailing address

411 WOLF LEDGES PKWY
AKRON OH
44311-1028
US

V. Phone/Fax

Practice location:
  • Phone: 330-298-8211
  • Fax:
Mailing address:
  • Phone: 330-298-8211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: