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Mr. Vincent Edward Watts
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Canton, Ohio
NPI 1619652468

Vincent Edward Watts is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Canton, OH. Vincent Edward Watts practices in Canton, OH. The NPI Number for Vincent Edward Watts is 1619652468 and holds a License No. (Ohio).

The current practice location address for Vincent Edward Watts is 148 Linwood Ave Nw, Canton, OH and can be reached out via phone at 330-880-9167. You can also correspond with Vincent Edward Watts through the mailing address at 148 LINWOOD AVE NW, CANTON, OH - 44708-5621 (mailing address contact number: 330-880-9167).

Location: 148 Linwood Ave Nw, Canton, OH, 44708-5621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619652468
Provider Name
Vincent Edward Watts
Credential
Provider Entity Type
Individual
Gender
Male
Address
148 Linwood Ave Nw, Canton, OH, 44708-5621
Phone Number
330-880-9167
Fax Number
Provider Enumeration Date
06/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
148 Linwood Ave Nw
City
Canton
State
Ohio
Zip
44708-5621
Phone Number
330-880-9167
Fax Number
person
Provider Business Mailing Address Details
Address
148 Linwood Ave Nw
City
Canton
State
Ohio
Zip
44708-5621
Phone Number
330-880-9167
Fax Number
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.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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