Organization
WONDERFUL MOVING MIRACLE LLC
Active
Other names
WMMLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA MARSHALL (CEO)
(330) 354-4844
Entity
Organization
Contact information
Practice address
6657 CARRIAGE LANE AVE NE, CANTON, OH 44721-2580
(330) 354-4844
(330) 494-3247
Mailing address
6657 CARRIAGE LANE AVE NE, CANTON, OH 44721-2580
(330) 354-4844
(330) 494-3247
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1523810002
OH
253J00000X
Foster Care Agency
Primary
1523810002
OH
253Z00000X
In Home Supportive Care Agency
1523810002
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
1523810002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101888
—
OH
Enumeration date
05/23/2011
Last updated
05/23/2011
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