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Organization

EXCELLENCE EXPECTED HOME HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC BALDWIN (OWNER)
(330) 937-1785
Entity
Organization

Contact information

Practice address
2143 OLD ELM ST NE, CANTON, OH 44721-1798
(330) 770-5817
Mailing address
2143 OLD ELM ST NE, CANTON, OH 44721-1798
(330) 770-5817

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
373H00000X
Day Training/Habilitation Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0323935
OH
Enumeration date
02/25/2019
Last updated
02/25/2019
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