Living 4 Independence

NPI #1912061797 in Canton, Ohio

Provider Information

NPI Number: 1912061797
Entity Type: Organization
Organization Name: Living 4 Independence
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4629 HELMSWORTH DR NE
City: Canton
State: Ohio
ZIP Code: 44714-1162
Phone: (330) 704-6580

Authorized Official

Name: MR. PETER STEVEN LEMOS, BA
Title: DIRECTOR OF OPERATIONS
Phone: (330) 704-6580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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