OrganizationActive
Bureau of Long-Term Care Services and Supports
NPI 1104122340 · Exclusive Provider Organization · Akron, OH
Provider details
- NPI number
- 1104122340
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Sarah Hanson, LPN
- License
- PN 109895 (OH)
Mailing address
818 Kickapoo Ave
Akron, OH 44305-1208
Registry dates
- Enumerated
- 2011-02-07
- Last updated
- 2011-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.