| NPI | 1790382315 |
|---|---|
| Other Name | COLEMAN WAIVER SERVICES |
| Entity Type | Organization |
| Authorized Contact | DIANA D. KEATHLEY Hr Coordinator 330-676-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-07 |