Individual
Individual is a Preferred Provider Organization in Canton, Ohio. Licensed in Ohio. Registered with an NPI since 2016.
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
1111 Gonder Ave SECanton, OH 44707
Phone: (330) 209-0732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X (OH) |
|---|
Record details
| NPI number | 1720537780 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tammie Mayle — Home Health Aid · (330) 209-0732 |
| NPI enumerated | September 30, 2016 |
| Last updated in NPPES | September 30, 2016 |
| Mailing address | 1111 Gonder Ave Se, Canton, OH 44707-3321 |
Other providers in Canton
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Tyfenn Peeps LLC
817 Park Ave SW, Canton, OH 44706-1228 · (773) 679-9641