Wallace, Corey

Wallace, Corey is an sole proprietor health care provider with primary practice located at 2460 25Th St Ne , Canton OH 44705-2468. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Wallace, Corey can be contacted via phone (330) 704-0134.

Contact Information

Primary practice address
2460 25Th St Ne Canton OH 44705-2468
Phone: (330) 704-0134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Ohio

Profile Details

NPI number 1356027999
LBN Legal business name Wallace, Corey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2023
Last updated Jun 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers