Healthcare Provider Details

I. General information

NPI: 1679608335
Provider Name (Legal Business Name): JAZZY KIDZ DAYCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 CLEVELAND AVE NW 2212 CLEVELAND AVE. N.W.
CANTON OH
44709-3607
US

IV. Provider business mailing address

2140 CLEVELAND AVE NW 2212 CLEVELAND AVE. N.W.
CANTON OH
44709-3607
US

V. Phone/Fax

Practice location:
  • Phone: 330-455-5175
  • Fax: 330-455-5142
Mailing address:
  • Phone: 330-455-5175
  • Fax: 330-455-5142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number2651849
License Number StateOH

VIII. Authorized Official

Name: MRS. TRENA Y CURTIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 330-455-5175