Healthcare Provider Details

I. General information

NPI: 1740859958
Provider Name (Legal Business Name): APOMNOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 06/22/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13620 QUARRY RD
OBERLIN OH
44074-9441
US

IV. Provider business mailing address

3675 CLAGUE RD UNIT 402
NORTH OLMSTED OH
44070-1654
US

V. Phone/Fax

Practice location:
  • Phone: 440-210-4309
  • Fax:
Mailing address:
  • Phone: 440-941-4431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. CARMEN D GRAY
Title or Position: CEO
Credential:
Phone: 440-941-4431