COREY WALLACE

CANTON, OH
NPI1356027999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date2023-06-27
Last Update Date2023-06-27
Business Address
Mr. COREY WALLACE
2460 25TH ST NE
CANTON, OH 44705-2468
Phone number: 330-704-0134
Mailing Address
Mr. COREY WALLACE
2460 25TH ST NE
CANTON, OH 44705-2468
Phone number: 330-704-0134
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