George Boone, MS

Individual provider Active NPI Case Manager/Care Coordinator · Shaker HTS, OH

NPI 1124596754 · NPPES record last updated Nov 13, 2018

Key facts

NPI
1124596754
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
22001 Fairmount Blvd
Shaker HTS, OH 44118-4819
Phone
(216) 320-8358
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

22001 Fairmount Blvd
Shaker HTS, OH 44118-4819

Mailing address

1424 Taft Ave
Cuyahoga Falls, OH 44223-2248
Phone (216) 320-8358

Other providers in Shaker HTS, OH

All providers in Shaker HTS, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.