Organization
KEEPING INDIVIDUALS SAFE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DONALD KISH OTR/L (MANAGING MEMBER/OWNER)
(440) 773-7647
Entity
Organization
Contact information
Practice address
1690 POPLAR LN, PAINESVILLE, OH 44077-6126
(440) 773-7647
Mailing address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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