Divinity's Residential Service

NPI #1497524250 in Canton, Ohio

Provider Information

NPI Number
1497524250
Entity Type
Organization
Organization Name
Divinity's Residential Service
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Dec 21, 2023
Last Updated
Dec 21, 2023

Practice Location

Address
2814 VIENNA VIEW CT SW
City
Canton
State
Ohio
ZIP Code
44706-5629
Phone
(330) 639-8258

Authorized Official

Name
TAMMI R NELSON
Title
OWNER
Phone
(330) 639-8258

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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