Northeast Developmental Services, Incorporated

NPI #1558977363 in Canton, Ohio

Provider Information

NPI Number: 1558977363
Entity Type: Organization
Organization Name: Northeast Developmental Services, Incorporated
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 7790 MARKET AVE N
City: Canton
State: Ohio
ZIP Code: 44721-1641
Phone: (330) 495-6374

Authorized Official

Name: MR. LARRY POWELL
Title: PRESIDENT
Phone: (330) 495-6374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
In Home Supportive Care	253Z00000X
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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