Organization
J. R. COLEMAN SENIOR OUTREACH SERVICES, INC.
Active
Organization
J. R. COLEMAN SENIOR OUTREACH SERVICES, INC.
Active
Other names
JRC Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM THOMPSON (EXECUTIVE DIRECTOR)
(330) 455-3873
Entity
Organization
Contact information
Practice address
3300 PARKWAY ST NW, CANTON, OH 44708-3832
(330) 454-3471
(330) 454-6371
Mailing address
1731 GRACE AVE NE, CANTON, OH 44705-2261
(330) 455-3873
(330) 455-3934
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809227
—
OH
Enumeration date
08/08/2014
Last updated
10/17/2016
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