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Organization
LATTER RAIN ASSOCIATES
Active
Organization
LATTER RAIN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILDA BERNICE POORE MED, PVR (EXECUTIVE DIRECTOR)
(330) 284-8929
Entity
Organization
Contact information
Practice address
1631 SHERRICK RD SE, CANTON, OH 44707-3536
(330) 456-8830
(330) 453-9377
Mailing address
PO BOX 20571, CANTON, OH 44701-0571
(330) 456-8830
(330) 453-9377
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
03-7094
OH
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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