Healthcare Provider Details

I. General information

NPI: 1528778958
Provider Name (Legal Business Name): ALL4U SUPPORTIVE SERVICES AND LEARNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 7TH ST SW
AKRON OH
44314-2103
US

IV. Provider business mailing address

2238 7TH ST SW
AKRON OH
44314-2103
US

V. Phone/Fax

Practice location:
  • Phone: 330-481-7674
  • Fax:
Mailing address:
  • Phone: 330-481-7674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIANA DAVIS
Title or Position: CFO
Credential:
Phone: 330-481-7674