| NPI | 1609579374 |
|---|---|
| Former Legal Business Name | ADVANTAGEOUS CLOTHING & APPAREL |
| Former Legal Business Name | CORAZON HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | GIA BELL Chief Executive Officer/ President 330-338-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |