Provider Services LLC
NPI #1407363849 in Canton, Ohio
Provider Information
- NPI Number
- 1407363849
- Entity Type
- Organization
- Organization Name
- Provider Services LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 8, 2018
- Last Updated
- Jan 8, 2018
Practice Location
Authorized Official
- Name
- SUSAN B COSS, MD
- Title
- OWNER
- Phone
- (330) 605-4541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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