Organization
BLENDED FAMILY HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY R WEST-CUNDIFF (CEO)
(330) 268-8799
Entity
Organization
Contact information
Practice address
903 30TH ST NE, CANTON, OH 44714-1405
(330) 268-8799
Mailing address
903 30TH ST NE, CANTON, OH 44714-1405
(330) 268-8799
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454288
—
OH
Enumeration date
10/18/2021
Last updated
10/18/2021
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