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House Of G.r.a.c.e.residential Services, Llc
Developmental Disabilities Clinic/Center in Canton, Ohio
NPI 1235750753

House Of G.r.a.c.e.residential Services, Llc is a Developmental Disabilities Clinic/Center based in Canton, OH and is specialized in Developmental Disabilities. House Of G.r.a.c.e.residential Services, Llc practices in Canton, OH. The NPI Number for House Of G.r.a.c.e.residential Services, Llc is 1235750753 and holds a License No. (Ohio).

The current practice location address for House Of G.r.a.c.e.residential Services, Llc is 116 Cleveland Ave Nw Ste 555, Canton, OH and can be reached out via phone at 330-915-8347 and via fax at 330-915-6030. You can also correspond with House Of G.r.a.c.e.residential Services, Llc through the mailing address at 116 CLEVELAND AVE NW, CANTON, OH - 44702-1779 (mailing address contact number: 330-915-8347).

Location: 116 Cleveland Ave Nw Ste 555, Canton, OH, 44702-1779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235750753
Provider Name
House Of G.r.a.c.e.residential Services, Llc
Credential
Provider Entity Type
Organization
Address
116 Cleveland Ave Nw Ste 555, Canton, OH, 44702-1779
Phone Number
330-915-8347
Fax Number
330-915-6030
Provider Enumeration Date
05/06/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7610455 01 OH OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
0215619 05 OH
institution
Provider Business Practice Location Address Details
Address
116 Cleveland Ave Nw Ste 555
City
Canton
State
Ohio
Zip
44702-1779
Phone Number
330-915-8347
Fax Number
330-915-6030
person
Provider Business Mailing Address Details
Address
116 Cleveland Ave Nw Ste 555
City
Canton
State
Ohio
Zip
44702-1779
Phone Number
330-915-8347
Fax Number
330-915-6030
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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