Mason Gilmore
Case Manager/Care Coordinator in Austintown, OH. Individual provider (NPI-1).
NPI number1891520003
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1891520003
- Entity type
- Individual (NPI-1)
- Name
- Mason Gilmore
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2024
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OH | Yes |
Practice location
104 Javit CtAustintown, OH 44515-2439
Phone 330-797-4050
Mailing address
104 Javit CtAustintown, OH 44515-2439
Phone 330-797-4050
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