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Elizabeth Ann Douce, INDEPENDENTPROVIDER
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Canton, Ohio
NPI 1356935829

Elizabeth Ann Douce is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Canton, OH. Elizabeth Ann Douce practices in Canton, OH and has the professional credentials of INDEPENDENTPROVIDER. The NPI Number for Elizabeth Ann Douce is 1356935829 and holds a License No. (Ohio).

The current practice location address for Elizabeth Ann Douce is 6648 Marelis Ave Ne, Canton, OH and can be reached out via phone at 330-418-3392 and via fax at 330-494-3337.

Location: 6648 Marelis Ave Ne, Canton, OH, 44721-2469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356935829
Provider Name
Elizabeth Ann Douce
Credential
INDEPENDENTPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
6648 Marelis Ave Ne, Canton, OH, 44721-2469
Phone Number
330-418-3392
Fax Number
330-494-3337
Provider Enumeration Date
02/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103315602599 05 OH
institution
Provider Business Practice Location Address Details
Address
6648 Marelis Ave Ne
City
Canton
State
Ohio
Zip
44721-2469
Phone Number
330-418-3392
Fax Number
330-494-3337
person
Provider Business Mailing Address Details
Address
6648 Marelis Ave Ne
City
Canton
State
Ohio
Zip
44721-2469
Phone Number
330-418-3392
Fax Number
330-494-3337
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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