Healthcare Provider Details

I. General information

NPI: 1275166340
Provider Name (Legal Business Name): CIRCLE REHAB WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7344 MARKET ST
BOARDMAN OH
44512-5610
US

IV. Provider business mailing address

6600 SUMMIT DR
CANFIELD OH
44406-9510
US

V. Phone/Fax

Practice location:
  • Phone: 330-429-2692
  • Fax: 300-400-2625
Mailing address:
  • Phone: 330-759-3903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: JOHN ARFARAS
Title or Position: PRESIDENT
Credential:
Phone: 330-759-2480