MEDICARE: DOMESTIC VIOLENCE PROJECT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1639146095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOMESTIC VIOLENCE PROJECT, INC

Provider Business Mailing Address
First Line	:	PO BOX 9459
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44711-9459
Country	:	US
Telephone Number	:	330-445-2001
Fax Number	:	330-445-2007

Provider Business Practice Location Address
First Line	:	720 19TH ST NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44714-2213
Country	:	US
Telephone Number	:	330-491-1351
Fax Number	:	330-491-9720

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MELISSA L PEARCE
Credential	:
Telephone Number	:	330-445-2001

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	04/24/2012

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1821262254 — THERESA LYNN CARROLL PCC-S
Practice Location Address:

720 19TH ST NE
CANTON, OH
44714-2213

Practice Phone: 330-491-1351
Practice Fax: 330-491-9720

1497034441 — MISS LYNN ROCHELLE JIMENEZ PCC-S
Practice Location Address:

720 19TH ST NE
CANTON, OH
44714-2213

Practice Phone: 330-491-1351
Practice Fax:

1609149160 — JULIE M EVANS CDCA
Practice Location Address:

720 19TH ST NE
CANTON, OH
44714-2213

Practice Phone: 330-491-1351
Practice Fax: 330-491-9720

1376982736 — DOMESTIC VIOLENCE PROJECT, INC
Practice Location Address:

720 19TH ST NE
CANTON, OH
44714-2213

Practice Phone: 330-491-1351
Practice Fax: 330-491-9720

1922198647 — DR. MALCOLM PAUL DULOCK M.D.
Practice Location Address:

319 CANTON RD
CUMMING, GA
30040-2213

Practice Phone: 678-456-8200
Practice Fax: 678-456-8201

Directions to “DOMESTIC VIOLENCE PROJECT, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.