NPI 1063901031
Wanida Enterprises LLC
Practice location
- Address
- 148 Linwood Ave NW, Canton, OH 44708-5621
- Phone
- (330) 880-9167
Authorised official
- Name
- Vincent Edward Watts
- Title
- Ceo
- Phone
- (330) 880-9167
Registered specialties (4)
In Home Supportive Care Agency
Primary
Community/Behavioral Health Agency
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Non-emergency Medical Transport (VAN)
Registry record
- NPI
- 1063901031
- Entity type
- Organization
- NPI issued
- 5 May 2018
- Record last updated
- 26 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.