599 West Main Corporation

NPI #1922564376 in Geneva, Ohio

Provider Information

NPI Number: 1922564376
Entity Type: Organization
Organization Name: 599 West Main Corporation
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Feb 11, 2019
Last Updated: Feb 11, 2019

Practice Location

Address: 609 WEST MAIN STREET
City: Geneva
State: Ohio
ZIP Code: 44041
Phone: (440) 466-7763

Authorized Official

Name: JAMES E. MILLER III
Title: PRESIDENT
Phone: (440) 466-1079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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