Individual
CODY HENNINGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 MARKET AVE N SUITE 16, CANTON, OH 44714
(330) 209-5460
(330) 209-5460
Mailing address
2800 MARKET AVE N STE 16, CANTON, OH 44714-1779
(330) 209-5460
(330) 209-5460
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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