Wanida Enterprises LLC

NPI #1063901031 in Canton, Ohio

Provider Information

NPI Number: 1063901031
Entity Type: Organization
Organization Name: Wanida Enterprises LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: May 5, 2018
Last Updated: Jun 26, 2023

Practice Location

Address: 148 LINWOOD AVE NW
City: Canton
State: Ohio
ZIP Code: 44708-5621
Phone: (330) 880-9167

Authorized Official

Name: MR. VINCENT EDWARD WATTS
Title: CEO
Phone: (330) 880-9167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Non-emergency Medical Transport (VAN)	343900000X
In Home Supportive Care	253Z00000X	Primary

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