Healthcare Provider Details

I. General information

NPI: 1669337424
Provider Name (Legal Business Name): EN-RICH-MENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MARKET AVE N
CANTON OH
44702-1022
US

IV. Provider business mailing address

901 MARKET AVE N
CANTON OH
44702-1022
US

V. Phone/Fax

Practice location:
  • Phone: 330-546-7724
  • Fax:
Mailing address:
  • Phone: 330-546-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. BETTY SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 330-546-7724