Organization
PHENOMENAL CARE SERVICES LLC
Active
Other names
Phenomenal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL WAYNE PETERSON II (CEO)
(234) 521-1318
Entity
Organization
Contact information
Practice address
3040 WICKER ST NE, CANTON, OH 44721-2298
(234) 521-1318
Mailing address
PO BOX 44, MIDDLEBRANCH, OH 44652-0044
(234) 521-1318
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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