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Organization
MOTHER HARRELL'S HAVEN
Active
Organization
MOTHER HARRELL'S HAVEN
Active
Other names
mother harrell's haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY VERNON KELLY (OWNER)
(330) 268-9065
Entity
Organization
Contact information
Practice address
1603 25TH ST NW, CANTON, OH 44709-3421
(330) 268-9065
Mailing address
1603 25TH ST NW, CANTON, OH 44709-3421
(330) 268-9065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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