C.malcmacher

NPI #1942591805 in Bay Village, Ohio

Provider Information

NPI Number
1942591805
Entity Type
Organization
Organization Name
C.malcmacher
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date
Apr 27, 2011
Last Updated
Apr 27, 2011

Practice Location

Address
27239 WOLF RD
State
Ohio
ZIP Code
44140-2020
Phone
(440) 892-1810

Authorized Official

Name
LOUIS MALCMACHER, DDS MAGD
Title
PRESIDENT
Phone
(440) 892-1810

Specialties & Taxonomy Codes

Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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