Provider Demographics
NPI:1699899161
Name:CARFAGNO, MARGARET
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:CARFAGNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7170 LOCUST AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4838
Mailing Address - Country:US
Mailing Address - Phone:330-729-9005
Mailing Address - Fax:
Practice Address - Street 1:7170 LOCUST AVENUE APT 2
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4838
Practice Address - Country:US
Practice Address - Phone:330-729-9005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities