Individual
TARA K NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4015 20TH ST NW, CANTON, OH 44708-2967
(330) 371-3493
Mailing address
4015 20TH ST NW, CANTON, OH 44708-2967
(330) 705-7003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/23/2024
Last updated
11/06/2024
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