Phenomenal Care Services LLC

NPI #1376221713 in Canton, Ohio

Provider Information

NPI Number: 1376221713
Entity Type: Organization
Organization Name: Phenomenal Care Services LLC
Primary Specialty: Private Vehicle
Enumeration Date: Jul 6, 2023
Last Updated: Jul 6, 2023

Practice Location

Address: 3040 WICKER ST NE
City: Canton
State: Ohio
ZIP Code: 44721-2298
Phone: (234) 521-1318

Authorized Official

Name: MR. DARRYL WAYNE PETERSON II
Title: CEO
Phone: (234) 521-1318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Private Vehicle	347C00000X	Primary

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