Organization
SALT AND LIGHT HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT WATTS (OWNER)
(330) 880-9167
Entity
Organization
Contact information
Practice address
148 LINWOOD AVE NW, CANTON, OH 44708-5621
(330) 880-9167
Mailing address
148 LINWOOD AVE NW, CANTON, OH 44708-5621
(330) 880-9167
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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