WRSC ACQUISITION GROUP, LLC; NPI #1629053608

Contact Information

WRSC ACQUISITION GROUP, LLC

1930 STATE ROUTE 59
KENT, OH 44240-4112

Phone: 330-677-3292
Fax: 330-677-3624
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for WRSC ACQUISITION GROUP, LLC

NPI Number 1629053608

LBN Legal business name WRSC ACQUISITION GROUP, LLC

Authorized official LAURIE SIMON - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/13/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

OH	License #	0027AS
OH	Medicaid	2585680

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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