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NPI Code Detail

MEDICARE: TOWNHALL II

MEDICARE: TOWNHALL II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
106888OTHEROHMACSIS UPI

General Provider Information

NPI Number : 1073566808
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWNHALL II
Provider Business Mailing Address
First Line : 155 N WATER ST
Second Line :
City : KENT
State : OH
Zip : 44240-2418
Country : US
Telephone Number : 330-678-3006
Fax Number : 330-677-7047
Provider Business Practice Location Address
First Line : 155 N WATER ST
Second Line :
City : KENT
State : OH
Zip : 44240-2418
Country : US
Telephone Number : 330-678-3006
Fax Number :
Authorized Official
Title or Position : CEO
Name : TAMERA HUNTER
Credential :
Telephone Number : 330-678-3006
Provider Enumeration Date : 05/19/2006
Last Update Date : 06/10/2024

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1639378870 — MR. NICHOLAS B. DUNLAP LPC
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1659570745 — MRS. LINDSAY ANNE HACKNEY MAED PC CDCA
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Directions to “TOWNHALL II ” Practice Location

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