Healthcare Provider Details

I. General information

NPI: 1053641852
Provider Name (Legal Business Name): NEXUS HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 12/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8675 MACKENZIE AVE NW
NORTH CANTON OH
44720-9503
US

IV. Provider business mailing address

8675 MACKENZIE AVE NW
NORTH CANTON OH
44720-9503
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-7707
  • Fax:
Mailing address:
  • Phone: 330-996-7707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNN M HERMAN
Title or Position: OWNER
Credential:
Phone: 330-996-7707