Organization
WANIDA ENTERPRISES LLC
Active
Other names
Wanida Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT EDWARD WATTS (CEO)
(330) 880-9167
Entity
Organization
Contact information
Practice address
148 LINWOOD AVE NW, CANTON, OH 44708-5621
(330) 880-9167
Mailing address
148 LINWOOD AVE NW, CANTON, OH 44708-5621
(330) 880-9167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/05/2018
Last updated
06/26/2023
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