OrganizationActive
Advanced Provider Services
NPI 1518567320 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, OH
Provider details
- NPI number
- 1518567320
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Heather Wood, Hr Director(330) 690-5414
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Home Health Agency251E00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
4194 Fulton Dr Nw
Canton, OH 44718-2877
Phone: (330) 690-5414
Fax: (330) 266-7446
Approximate (ZIP-level) locationGet directions
Mailing address
4194 Fulton Dr Nw
Canton, OH 44718-2877
Registry dates
- Enumerated
- 2020-10-30
- Last updated
- 2020-10-30
- Certified
- 2020-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.