Provider Demographics
NPI:1013597707
Name:OPEN M
Entity Type:Organization
Organization Name:OPEN M
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEESE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-434-0110
Mailing Address - Street 1:941 PRINCETON ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:941 PRINCETON ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1922
Practice Address - Country:US
Practice Address - Phone:330-434-0110
Practice Address - Fax:330-434-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare