SHANE KAMBAN

NEW PHILADELPHIA, OH
NPI1831656495
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2019-03-01
Last Update Date2019-03-01
Business Address
SHANE KAMBAN QMHS HS CMS
1433 5TH ST NW
NEW PHILADELPHIA, OH 44663-1223
Phone number: 440-260-8300
Mailing Address
SHANE KAMBAN QMHS HS CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006