NPI 1093594020
New Life Residential&community Services LLC
Practice location
- Address
- 1230 37th St NE APT D, Canton, OH 44714-1340
- Phone
- (330) 412-0528
Authorised official
- Name
- Trarese Sanders
- Title
- Doo
- Phone
- (330) 327-2637
Registered specialties (14)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Case Management Agency
Developmentally Disabled Services Day Training Agency
Home Health Agency
Public Health or Welfare Agency
Community/Behavioral Health Agency
PACE Provider Organization
In Home Supportive Care Agency
Developmental Disabilities Clinic/Center
Physical Disabilities Residential Treatment Facility
Mental Illness Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Private Vehicle
Respite Care
Registry record
- NPI
- 1093594020
- Entity type
- Organization
- NPI issued
- 28 Sep 2023
- Record last updated
- 28 Sep 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.