Organization
ATILEM HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASHAUD POLK (CEO)
(330) 936-8059
Entity
Organization
Contact information
Practice address
938 SHERRICK RD SE, CANTON, OH 44707-3527
(330) 936-8059
Mailing address
938 SHERRICK RD SE, CANTON, OH 44707-3527
(330) 936-8059
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
OH
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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