Womb of Legacy

NPI #1013789395 in Massillon, Ohio

Provider Information

NPI Number: 1013789395
Entity Type: Organization
Organization Name: Womb of Legacy
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 30, 2023
Last Updated: Oct 30, 2023

Practice Location

Address: 4922 SUZETTE AVE NW
City: Massillon
State: Ohio
ZIP Code: 44647
Phone: (330) 313-9577

Authorized Official

Name: ASHLEY MITCHELL
Title: DOO
Phone: (330) 313-9577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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