Provider Demographics
NPI:1427310812
Name:CALLOS MANAGEMENT COMPANYINC
Entity type:Organization
Organization Name:CALLOS MANAGEMENT COMPANYINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THADDEUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-788-3033
Mailing Address - Street 1:5083 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2128
Mailing Address - Country:US
Mailing Address - Phone:330-788-3033
Mailing Address - Fax:330-788-6940
Practice Address - Street 1:5083 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-2128
Practice Address - Country:US
Practice Address - Phone:330-788-3033
Practice Address - Fax:330-788-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health