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Organization

LIVING 4 INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER STEVEN LEMOS BA (DIRECTOR OF OPERATIONS)
(330) 704-6580
Entity
Organization

Contact information

Practice address
4629 HELMSWORTH DR NE, CANTON, OH 44714-1162
(330) 704-6580
(330) 265-2072
Mailing address
4629 HELMSWORTH DR NE, CANTON, OH 44714-1162
(330) 704-6580
(330) 265-2072

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
OH

Other

Enumeration date
12/19/2006
Last updated
08/22/2020
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