Organization
STARK COUNTY BOARD OF DD
Active
Organization
STARK COUNTY BOARD OF DD
Active
Other names
Stark MRDD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GREEN (SUPERINTENDENT)
(330) 479-3932
Entity
Organization
Contact information
Practice address
2950 WHIPPLE AVE NW, CANTON, OH 44708-1534
(330) 477-5200
(330) 477-3337
Mailing address
2950 WHIPPLE AVE NW, CANTON, OH 44708-1534
(330) 479-3944
(330) 477-3337
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600019
—
OH
01
—
HC1281
HOME CHOICE DEMONSTRATION PROGRAM
OH
Enumeration date
03/29/2007
Last updated
04/30/2010
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