Organization
ALIVE NOW SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN MACKSYN (CEO)
(330) 371-9876
Entity
Organization
Contact information
Practice address
6717 AMSEL AVE NE, CANTON, OH 44721-2606
(330) 371-9876
Mailing address
6717 AMSEL AVE NE, CANTON, OH 44721-2606
(330) 371-9876
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7611044
—
OH
Enumeration date
07/31/2019
Last updated
07/31/2019
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