Organization
KEYS 2 A 2ND CHANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA L HOLMES CDCA I (DIRECTOR)
(330) 506-6035
Entity
Organization
Contact information
Practice address
3268 ARIS ST NW, WARREN, OH 44485-1605
(330) 506-6035
Mailing address
3268 ARIS ST NW, WARREN, OH 44485-1605
(330) 506-6035
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
160007
OH
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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