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Mr. Nathaniel West JR.
Developmental Disabilities Clinic/Center in Canal Fulton, Ohio
NPI 1639885668

Nathaniel West JR. is a Developmental Disabilities Clinic/Center based in Canal Fulton, OH and is specialized in Developmental Disabilities. Nathaniel West JR. practices in Canal Fulton, OH. The NPI Number for Nathaniel West JR. is 1639885668 and holds a License No. (Ohio).

The current practice location address for Nathaniel West JR. is 7558 Brownwood Ave Nw, Canal Fulton, OH and can be reached out via phone at 330-412-8553.

Location: 7558 Brownwood Ave Nw, Canal Fulton, OH, 44614-9491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639885668
Provider Name
Nathaniel West JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
7558 Brownwood Ave Nw, Canal Fulton, OH, 44614-9491
Phone Number
330-412-8553
Fax Number
Provider Enumeration Date
01/24/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92313509 05 OH
institution
Provider Business Practice Location Address Details
Address
7558 Brownwood Ave Nw
City
Canal Fulton
State
Ohio
Zip
44614-9491
Phone Number
330-412-8553
Fax Number
person
Provider Business Mailing Address Details
Address
7558 Brownwood Ave Nw
City
Canal Fulton
State
Ohio
Zip
44614-9491
Phone Number
330-412-8553
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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