Organization · Type 2 NPI

Advanced Provider Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, OH

NPI number 1518567320 Active

Practice location

4194 Fulton Dr NW
Canton, OH 44718-2877

Call (330) 690-5414 Map

Fax (330) 266-7446

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1518567320

Advanced Provider Services's National Provider Identifier is 1518567320, issued on Oct 30, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Canton, OH. The record was last updated on Oct 30, 2020.