Provider Demographics
NPI:1275923765
Name:MDG ENTERPRISES
Entity Type:Organization
Organization Name:MDG ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-454-3200
Mailing Address - Street 1:4565 DRESSLER RD NW
Mailing Address - Street 2:SUITE 213
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2549
Mailing Address - Country:US
Mailing Address - Phone:330-454-3200
Mailing Address - Fax:330-454-6807
Practice Address - Street 1:4565 DRESSLER RD NW
Practice Address - Street 2:SUITE 213
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2549
Practice Address - Country:US
Practice Address - Phone:330-454-3200
Practice Address - Fax:330-454-6807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management