Healthcare Provider Details
I. General information
NPI: 1699004580
Provider Name (Legal Business Name): THINK-ABILITY L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/23/2009
Last Update Date: 12/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1256 WARNER AVE
MANSFIELD OH
44905-2619
US
IV. Provider business mailing address
1256 WARNER AVE
MANSFIELD OH
44905-2619
US
V. Phone/Fax
- Phone: 419-589-2238
- Fax: 419-589-2238
- Phone: 419-589-2238
- Fax: 419-589-2238
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
STEPHEN
MAZAK
Title or Position: OWNER/THERAPIST
Credential: OTR/L
Phone: 419-589-2238