Organization
DIFFERENT ABILITIES TRANSPORTATION AND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENAE ASHLEY STEPHENS (DIRECTOR)
(330) 833-9407
Entity
Organization
Contact information
Practice address
1612 TUSCARAWAS ST W, CANTON, OH 44708-4847
(330) 705-1472
Mailing address
190 OVERMONT AVE SW, MASSILLON, OH 44646-3872
(330) 705-1472
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
3433900000X
OH
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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