Organization
HEART 2 HEART GROUP HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HEINTZELMAN (OWNER)
(330) 617-2087
Entity
Organization
Contact information
Practice address
1007 RIDGE RD NW, CANTON, OH 44703-2105
(330) 617-2087
Mailing address
411 THOMAS CIR NE, MASSILLON, OH 44646-4976
(330) 617-2087
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334254
—
OH
Enumeration date
04/29/2019
Last updated
06/11/2019
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