Healthcare Provider Details

I. General information

NPI: 1447042056
Provider Name (Legal Business Name): LAURA S FILAINE BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI S FILAINE

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5982 RHODES RD
KENT OH
44240-8100
US

IV. Provider business mailing address

5982 RHODES RD
KENT OH
44240-8100
US

V. Phone/Fax

Practice location:
  • Phone: 330-968-8627
  • Fax:
Mailing address:
  • Phone: 330-968-8627
  • Fax: 234-571-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: