Community Foot and Ankle of Mentor Inc
Restricted
Community Foot and Ankle of Mentor Inc is subject to Restricted. See the individual lists below.
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Address
7230 Mentor Avenue,Mentor,Ohio,44060
ID Details
ID NUMBER : 1548677917
ID TYPE : Npi
ID NUMBER : 01168890368909
ID TYPE : Provider ID
View Notes
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Community Foot and Ankle of Mentor Inc Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Ohio Department of Medicaid (ODM) | Nov 5, 2018 | active |
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