Dylan Blott

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

NPI 1689423246 · NPPES record last updated May 16, 2024

Key facts

NPI
1689423246
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
104 Javit CT
Austintown, OH 44515-2439
Phone
(330) 797-4050
NPI assigned
May 16, 2024
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

Specialties & licenses

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

Addresses

Primary practice location

104 Javit CT
Austintown, OH 44515-2439

Mailing address

104 Javit CT
Austintown, OH 44515-2439
Phone (330) 797-4050

Other providers in Austintown, OH

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

Sources for this page

Verify at the official NPI Registry.