Organization
WISE HANDS RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVON WISE (OWNER)
(330) 495-8090
Entity
Organization
Contact information
Practice address
831 MARKET AVE N STE 210, CANTON, OH 44702-1175
(330) 495-8090
Mailing address
831 MARKET AVE N STE 210, CANTON, OH 44702-1175
(330) 495-8090
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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