Organization
WILBDONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA BERNADETTE PERRIN BSN, RN (OWNER)
(330) 639-4165
Entity
Organization
Contact information
Practice address
2664 CLEVELAND AVE SW REAR, CANTON, OH 44707-3647
(330) 639-4165
(330) 639-4167
Mailing address
2664 CLEVELAND AVE SW REAR, CANTON, OH 44707-3647
(330) 639-4165
(330) 639-4167
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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