Provider Demographics
NPI:1477280105
Name:MCCURRY ENTERPRISES, INC.
Entity Type:Organization
Organization Name:MCCURRY ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-280-0837
Mailing Address - Street 1:6201 BAYSIDE ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-1396
Mailing Address - Country:US
Mailing Address - Phone:330-280-0837
Mailing Address - Fax:
Practice Address - Street 1:6201 BAYSIDE ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-1396
Practice Address - Country:US
Practice Address - Phone:330-280-0837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health