Organization
SIFFRIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY L VINCENT (EXECUTIVE DIRECTOR)
(330) 478-0263
Entity
Organization
Contact information
Practice address
3688 DRESSLER RD NW, CANTON, OH 44718-2781
(330) 478-0263
(330) 478-0140
Mailing address
3688 DRESSLER RD NW, CANTON, OH 44718-2781
(330) 478-0263
(330) 478-0140
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600117
—
OH
Enumeration date
11/30/2006
Last updated
08/29/2016
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