Organization
WOMB OF LEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MITCHELL (DOO)
(330) 313-9577
Entity
Organization
Contact information
Practice address
4922 SUZETTE AVE NW, MASSILLON, OH 44647
(330) 313-9577
Mailing address
4922 SUZETTE AVE NW, MASSILLON, OH 44647
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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