Provider Demographics
NPI:1770166266
Name:NEIGHBORHOOD DEVELOPMENT CORPORATION OF AKRON
Entity type:Organization
Organization Name:NEIGHBORHOOD DEVELOPMENT CORPORATION OF AKRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-376-8787
Mailing Address - Street 1:662 WOLF LEDGES PKWY
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1511
Mailing Address - Country:US
Mailing Address - Phone:303-376-8787
Mailing Address - Fax:330-376-6437
Practice Address - Street 1:662 WOLF LEDGES PKWY
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1511
Practice Address - Country:US
Practice Address - Phone:303-376-8787
Practice Address - Fax:330-376-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care