Organization
HERITAGE HHC (ABG), LLC
Active
Other names
Heritage Home Healthcare of Stark & Portage Counties
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANASTACIA ERESE CLEMENTE (PRESIDENT/ADMINISTRATOR)
(855) 326-4790
Entity
Organization
Contact information
Practice address
4801 MUNSON ST NW, CANTON, OH 44718-3614
(855) 326-4790
(330) 494-8281
Mailing address
3416 STILLWATER AVE NW, CANTON, OH 44708-5867
(855) 326-4790
(330) 494-8281
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113076
—
OH
Enumeration date
06/18/2013
Last updated
03/24/2015
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