<Unavail>

LBN: Wonderful Moving Miracle Llc
<Unavail> is an health care organization with primary practice located at 6657 Carriage Lane Ave Ne , Canton OH 44721-2580. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Foster Care Agency is the primary health care specialty. Wonderful Moving Miracle Llc can be contacted via phone (330) 354-4844, or through Marshall, Glenda via phone (330) 354-4844.

Contact Information

Primary practice address
6657 Carriage Lane Ave Ne Canton OH 44721-2580
Phone: (330) 354-4844
Fax: (330) 494-3247
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Glenda
Phone: (330) 354-4844

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 1523810002 Ohio
Agencies / Foster Care Agency 253J00000X 1523810002 Ohio
Agencies / In Home Supportive Care 253Z00000X 1523810002 Ohio
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X 1523810002 Ohio

Profile Details

NPI number 1558654665
LBN Legal business name Wonderful Moving Miracle Llc
DBA Doing business as <Unavail>
Authorized official Marshall, Glenda
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2011
Last updated May 23rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558654665 NPPES
Ohio MEDICAID 3101888

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