Provider Demographics
NPI:1639478522
Name:MAYFIELD CARE SERVICES
Entity Type:Organization
Organization Name:MAYFIELD CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:
Authorized Official - First Name:WANYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-865-5666
Mailing Address - Street 1:791 CORDOVA AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-1721
Mailing Address - Country:US
Mailing Address - Phone:770-865-5666
Mailing Address - Fax:484-693-7408
Practice Address - Street 1:791 CORDOVA AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1721
Practice Address - Country:US
Practice Address - Phone:770-865-5666
Practice Address - Fax:484-693-7408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty