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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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