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Organization
NOT FORSAKEN
Active
Organization
NOT FORSAKEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE QUINN OWENS (CEO)
(330) 809-2537
Entity
Organization
Contact information
Practice address
2225 7TH ST NW, CANTON, OH 44708-4303
(330) 809-2537
Mailing address
2225 7TH ST NW, CANTON, OH 44708-4303
(330) 809-2537
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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