Individual
DAKOTA VANOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4631 W HIGH ST, MANTUA, OH 44255-9146
(330) 977-0348
Mailing address
4631 W HIGH ST, MANTUA, OH 44255-9146
(330) 977-0348
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
UB761218
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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