Individual
ALVAH YOLANDA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 33RD ST NE, CANTON, OH 44714-1552
(330) 575-2404
Mailing address
1612 33RD ST NE, CANTON, OH 44714-1552
(330) 575-2404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7607594
—
OH
Enumeration date
11/04/2020
Last updated
07/01/2024
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