Healthcare Provider Details

I. General information

NPI: 1699899161
Provider Name (Legal Business Name): MS. MARGARET CARFAGNO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7170 LOCUST AVENUE APT 2
BOARDMAN OH
44512-4838
US

IV. Provider business mailing address

7170 LOCUST AVE APT 2
BOARDMAN OH
44512-4838
US

V. Phone/Fax

Practice location:
  • Phone: 330-729-9005
  • Fax:
Mailing address:
  • Phone: 330-729-9005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: