Organization
INDIVIDUAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMMIE LYNN MAYLE (HOME HEALTH AID)
(330) 209-0732
Entity
Organization
Contact information
Practice address
1111 GONDER AVENUE SE, CANTON, OH 44707
(330) 209-0732
Mailing address
1111 GONDER AVE SE, CANTON, OH 44707-3321
(330) 209-0732
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
OH
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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