MEDICARE: EQUAL CARE SERVICES

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
1	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619579547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EQUAL CARE SERVICES

Provider Business Mailing Address
First Line	:	1238 BRITTAIN RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-3704
Country	:	US
Telephone Number	:	234-334-1513
Fax Number	:

Provider Business Practice Location Address
First Line	:	1238 BRITTAIN RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-3704
Country	:	US
Telephone Number	:	234-334-1513
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HASSAN MARK ANDERSON
Credential	:
Telephone Number	:	330-714-0113

Provider Enumeration Date	:	11/16/2020
Last Update Date	:	11/16/2020

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Directions to “EQUAL CARE SERVICES ” Practice Location

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