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Organization
KALEIDOSCOPE PROJECT,INC.
Active
Organization
KALEIDOSCOPE PROJECT,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A SIMMONS (CEO)
(330) 518-2652
Entity
Organization
Contact information
Practice address
832 N STATELINE RD, MASURY, OH 44438-1640
(330) 969-1098
Mailing address
6610 PHEASANT RUN DR, CANFIELD, OH 44406-8742
(330) 702-1822
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2657754
—
OH
Enumeration date
11/18/2020
Last updated
11/18/2020
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