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Organization
LARRY MCKINSTRY SERVICES LLC
Active
Organization
LARRY MCKINSTRY SERVICES LLC
Active
Other names
mrdd service provider fpr mrdd clients
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY L. MCKINSTRY BA, QMRP (OWNER, ADMINISTRATOR)
(330) 575-1861
Entity
Organization
Contact information
Practice address
329 ARLINGTON AVE NW # 44708, 1205 32ND STREET NE (GROUP HOME) 44714, CANTON, OH 44708-4703
(330) 575-1861
(330) 452-1296
Mailing address
329 ARLINGTON AVE NW # 44708, 1205 32ND STREET NE (GROUP HOME) 44714, CANTON, OH 44708-4703
(330) 575-1861
(330) 452-1296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7600760
OH
Other
Enumeration date
05/16/2007
Last updated
09/06/2023
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