Organization
COLLIER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRA DARCEL COLLIER (OWNER)
(330) 915-8954
Entity
Organization
Contact information
Practice address
1906 WOODLAWN AVE NW, CANTON, OH 44708-2132
(330) 915-8954
(234) 214-0523
Mailing address
1906 WOODLAWN AVE NW, CANTON, OH 44708-2132
(330) 915-8954
(234) 214-0523
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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