Healthcare Provider Details
I. General information
NPI: 1467698597
Provider Name (Legal Business Name): INTEGRITY AUTO & MOBILITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2008
Last Update Date: 12/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4620 NAVARRE RD SW
CANTON OH
44706-2337
US
IV. Provider business mailing address
4620 NAVARRE RD SW
CANTON OH
44706-2337
US
V. Phone/Fax
- Phone: 330-479-3147
- Fax: 330-479-2677
- Phone: 330-479-3147
- Fax: 330-479-2677
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name: MR.
RANNIE
L
COX
Title or Position: MANAGER
Credential:
Phone: 330-479-3147