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Organization
HIDDEND PEARLS LLC
Active
Organization
HIDDEND PEARLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATOYA S. GOODEN LPN (OWNER)
(330) 418-1025
Entity
Organization
Contact information
Practice address
1012 S. LIBERTY AVE., ALLIANCE, OH 44601-4062
(330) 418-1025
Mailing address
1012 S. LIBERTY AVE., ALLIANCE, OH 44601-4062
(330) 821-3702
(330) 821-3708
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
OH
251B00000X
Case Management Agency
—
OH
251E00000X
Home Health Agency
Primary
—
OH
252Y00000X
Early Intervention Provider Agency
—
OH
253Z00000X
In Home Supportive Care Agency
—
OH
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
—
OH
347C00000X
Private Vehicle
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013689
—
OH
Enumeration date
10/04/2010
Last updated
07/26/2023
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