Individual
SHALAMAR RISBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
833 BELLFLOWER AVE NW, CANTON, OH 44708-4052
(757) 309-0149
Mailing address
833 BELLFLOWER AVE NW, CANTON, OH 44708-4052
(757) 309-0149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
1144069089
—
376J00000X
Homemaker
1144069089
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/21/2024
Last updated
09/13/2024
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