Organization
MJ HARVEY DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLO J HARVEY LMSW, COTA/L (CEO)
(330) 437-6838
Entity
Organization
Contact information
Practice address
804 MARION AVE SW, CANTON, OH 44707
(330) 437-6838
Mailing address
4647 RENWORTH AVE NE, CANTON, OH 44714-1194
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
M7605514
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2978078
—
OH
Enumeration date
05/04/2016
Last updated
05/04/2016
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