Organization
CHEROKEE ROSE RESIDENTIAL LLC
Active
Other names
Cherokee Rose Residential LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE JONES (OWNER)
(133) 050-7841
Entity
Organization
Contact information
Practice address
15292 SALEM ALLIANCE RD, SALEM, OH 44460-7616
(330) 261-2191
(330) 446-4089
Mailing address
PO BOX 583, SALEM, OH 44460-0583
(330) 507-8411
(330) 446-4089
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321232
—
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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