Northeast Professional Home, Inc.

NPI #1972594802 in Canton, Ohio

Provider Information

NPI Number: 1972594802
Entity Type: Organization
Organization Name: Northeast Professional Home, Inc.
Primary Specialty: Home Health
Enumeration Date: Oct 31, 2005
Last Updated: Jun 3, 2021

Practice Location

Address: 4580 STEPHEN CIR NW STE 302
City: Canton
State: Ohio
ZIP Code: 44718-3646
Phone: (330) 966-2311

Authorized Official

Name: MR. DALE W WELLS, MBA, CHCE
Title: ADMINISTRATOR
Phone: (330) 966-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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