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NPI Code Detail

MEDICARE: AKRON UMADAOP INC

MEDICARE: AKRON UMADAOP INC
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
1251S00000XCommunity/Behavioral Health Agency3319OH

General Provider Information

NPI Number : 1407986078
Entity Type Code : Organization
Provider Name (Legal Business Name) : AKRON UMADAOP INC
Provider Business Mailing Address
First Line : 665 WEST MARKET STREET
Second Line :
City : AKRON
State : OH
Zip : 44303-1438
Country : US
Telephone Number : 330-379-3467
Fax Number : 330-379-3465
Provider Business Practice Location Address
First Line : 665 WEST MARKET STREET
Second Line :
City : AKRON
State : OH
Zip : 44303-1438
Country : US
Telephone Number : 330-379-3467
Fax Number : 330-379-3465
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. JANICE MERCIER WADE
Credential :
Telephone Number : 330-379-3467
Provider Enumeration Date : 03/06/2007
Last Update Date : 08/22/2020

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Directions to “AKRON UMADAOP INC ” Practice Location

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