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Organization
TURNING TIDES
Active
Organization
TURNING TIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICTHELL WILSON (OWNER)
(330) 717-2907
Entity
Organization
Contact information
Practice address
607 NEBRASKA AVE, NILES, OH 44446-1047
(330) 717-2907
Mailing address
607 NEBRASKA AVE, NILES, OH 44446-1047
(330) 717-2907
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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