Organization
PRIME PATH SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA BROWN RN (DIRECTOR OF OPERATIONS)
(216) 859-5168
Entity
Organization
Contact information
Practice address
6545 MARKET AVE N, N CANTON, OH 44721-2430
(216) 859-5168
Mailing address
6545 MARKET AVE N, N CANTON, OH 44721-2430
(216) 859-5168
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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