NPI 1376221713

Phenomenal Care Services LLC

Organisation Private Vehicle Canton, OH

Practice location

Address: 3040 Wicker St NE, Canton, OH 44721-2298
Phone: (234) 521-1318
Mailing address: PO Box 44, Middlebranch, OH 44652-0044

Authorised official

Name: Darryl Wayne Peterson
Title: Ceo
Phone: (234) 521-1318

Registered specialties (2)

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

Other Private Vehicle providers in Ohio →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Ohio →

Registry record

NPI: 1376221713
Entity type: Organization
NPI issued: 6 Jul 2023
Record last updated: 6 Jul 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.