INDIVIDUAL

CANTON, OH
NPI1720537780
Entity TypeOrganization
Authorized ContactTAMMIE LYNN MAYLE
Home Health Aid
330-209-0732
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2016-09-30
Last Update Date2016-09-30
Business Address
INDIVIDUAL
1111 GONDER AVENUE SE
CANTON, OH 44707
Phone number: 330-209-0732
Mailing Address
INDIVIDUAL
1111 GONDER AVE SE
CANTON, OH 44707-3321
Phone number: 330-209-0732