Organization
ADVANCED PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANNE WOOD (HR DIRECTOR)
(330) 690-5414
Entity
Organization
Contact information
Practice address
4194 FULTON DR NW, CANTON, OH 44718-2877
(330) 690-5414
(330) 266-7446
Mailing address
4194 FULTON DR NW, CANTON, OH 44718-2877
(330) 690-5414
(330) 266-7446
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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