INDIVIDUAL – Intellectual and/or Developmental Disabilities Residential Treatment Facility, NPI 1962958512
Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INDIVIDUAL
1111, Gonder Avenue Southeast, Canton, Stark County, Ohio, 44707, United States
CANTON, OH 44707
Phone: (330) 265-7902
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44707)
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