Provider Demographics
NPI:1003679085
Name:HASKINS, CHRISTOPHER B
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:HASKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 S ROSE BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7858
Mailing Address - Country:US
Mailing Address - Phone:330-459-3162
Mailing Address - Fax:
Practice Address - Street 1:396 S ROSE BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7858
Practice Address - Country:US
Practice Address - Phone:330-459-3162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home