JOHNTAY D FORT

WOOSTER, OH
NPI1518437730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-11-30
Last Update Date2018-11-30
Business Address
JOHNTAY D FORT QMHS
2803 AKRON RD
WOOSTER, OH 44691-7904
Phone number: 330-264-3232
Mailing Address
JOHNTAY D FORT QMHS
2000 NOBLE DR
WOOSTER, OH 44691-5353
Phone number: