Provider First Line Business Practice Location Address:
155 FIFTH ST NE
Provider Second Line Business Practice Location Address:
SUMMA HEALTH/ FAMILY RESIDENCY
Provider Business Practice Location Address City Name:
BARBERTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-615-3205
Provider Business Practice Location Address Fax Number:
330-761-6469
Provider Enumeration Date:
04/20/2020