Most Relevant Information
Provider Data
| NPI Number: | 1003442641 |
| Provider Name: | OLIVIA FUNK |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2020 |
| Last Updated: | 03/16/2020 |
Provider Practice Location
906 16TH ST SE
MASSILLON
OH
446468303
Practice Location Phone/Fax
| Phone: | 3308320492 |
| Fax: |
Provider Mailing Location
5982 RHODES RD
KENT
OH
442408100
Provider Mailing Phone/Fax
| Phone: | 3306731347 |
| Fax: | 3306783677 |