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Organization

BLENDEDTRADITIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TASHA HARRIS (DIRECTOR OF OPERATIONS)
(330) 354-9042
Entity
Organization

Contact information

Practice address
1201 30TH ST NW, BLDG B STE 101B, CANTON, OH 44709-2959
(330) 354-9042
Mailing address
1201 30TH ST NW, CANTON, OH 44709-2959
(330) 354-9042

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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