Healthcare Provider Details

I. General information

NPI: 1295131845
Provider Name (Legal Business Name): JUST LIKE FAMILY HOME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7110 WHIPPLE AVE NW SUITE 102D
CANTON OH
44720-7154
US

IV. Provider business mailing address

7110 WHIPPLE AVE NW SUITE 102D
CANTON OH
44720-7154
US

V. Phone/Fax

Practice location:
  • Phone: 330-526-8619
  • Fax:
Mailing address:
  • Phone: 330-526-8619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number7607183
License Number State

VIII. Authorized Official

Name: YOLANDA MOORE CURTIS
Title or Position: DIRECTOR,CEO
Credential:
Phone: 330-488-4120