Healthcare Provider Details

I. General information

NPI: 1205677192
Provider Name (Legal Business Name): FAMILY RESOURCE CENTER OF NORTHWEST OHIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 06/04/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 S MAIN ST
LIMA OH
45804-1240
US

IV. Provider business mailing address

530 S MAIN ST
LIMA OH
45804-1240
US

V. Phone/Fax

Practice location:
  • Phone: 419-222-1168
  • Fax:
Mailing address:
  • Phone: 419-222-1168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN J BINDAS
Title or Position: CEO
Credential:
Phone: 419-425-5050