Organization
CHAMPION PHASES LLC
Active
Other names
Champion Phases LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RASHAN HALL QBHS, (CEO/FOUNDER)
(330) 313-4941
Entity
Organization
Contact information
Practice address
2014 CHAMPIONS GTWY NW STE 301, CANTON, OH 44708-2605
(330) 313-4941
Mailing address
2014 CHAMPIONS GTWY NW STE 301, CANTON, OH 44708-2605
(330) 313-4941
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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