person
Mr. Corey Wallace
Child Intellectual and/or Developmental Disabilities Respite Care in Canton, Ohio
NPI 1356027999

Corey Wallace is a Child Intellectual and/or Developmental Disabilities Respite Care based in Canton, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Corey Wallace practices in Canton, OH. The NPI Number for Corey Wallace is 1356027999 and holds a License No. (Ohio).

The current practice location address for Corey Wallace is 2460 25Th St Ne, Canton, OH and can be reached out via phone at 330-704-0134.

Location: 2460 25Th St Ne, Canton, OH, 44705-2468
person
Provider Profile Details
NPI Number
1356027999
Provider Name
Corey Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
2460 25Th St Ne, Canton, OH, 44705-2468
Phone Number
330-704-0134
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2460 25Th St Ne
City
State
Zip
44705-2468
Phone Number
330-704-0134
Fax Number
person
Provider Business Mailing Address Details
Address
2460 25Th St Ne
City
State
Zip
44705-2468
Phone Number
330-704-0134
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
(Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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