Organization
NEXT TO KIN SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LUCSHUNDA SAPRINA BLACKWELL (CEO)
(330) 510-7847
Entity
Organization
Contact information
Practice address
1049 DIAGONAL RD, AKRON, OH 44320-3751
(330) 510-7847
Mailing address
1049 DIAGONAL RD, AKRON, OH 44320-3751
(330) 510-7847
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
7714003
OH
253Z00000X
In Home Supportive Care Agency
Primary
7714003
OH
343900000X
Non-emergency Medical Transport (VAN)
7714003
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
7714003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097171
—
OH
01
—
7714003
DEPARTMENT OF DEVELOPMENTALLY DISABLED
OH
Enumeration date
11/19/2015
Last updated
11/19/2015
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