Healthcare Provider Details
I. General information
NPI: 1356570444
Provider Name (Legal Business Name): SARAH ADULT DAY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2009
Last Update Date: 07/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 MARKET AVE N SUITE 1230
CANTON OH
44702-1083
US
IV. Provider business mailing address
800 MARKET AVE N SUITE 1230
CANTON OH
44702-1083
US
V. Phone/Fax
- Phone: 330-454-3200
- Fax: 330-454-6807
- Phone: 330-454-3200
- Fax: 330-454-6807
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MERLE
D.
GRIFF
Title or Position: PRESIDENT
Credential: PHD
Phone: 330-454-3200