Organization
JOHN S. RUSSELL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAMUEL RUSSELL III (CEO)
(330) 312-1837
Entity
Organization
Contact information
Practice address
1807 SWANHURST CIR NE, NORTH CANTON, OH 44720-6196
(330) 312-1837
Mailing address
1807 SWANHURST CIR NE, NORTH CANTON, OH 44720-6196
(330) 312-1837
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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