Phillip Hines

NPI #1639520737 in Wadsworth, Ohio

Provider Information

NPI Number: 1639520737
Entity Type: Individual
Name: Phillip Hines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 29, 2016
Last Updated: Jun 29, 2016

Practice Location

Address: 1059 RAVEN PL APT 312
City: Wadsworth
State: Ohio
ZIP Code: 44281-9337
Phone: (330) 506-2005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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