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Individual

WILLIAM SANDERS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3043 RAMBLE DR, LELAND, NC 28451
(330) 647-1544
Mailing address
893 TAIT RD, WARREN, OH 44481
(330) 647-1544

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
385HR2050X
Respite Care Camp
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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