NPI 1497524250

Divinity's Residential Service

Organisation Early Intervention Provider Agency Canton, OH

Practice location

Address: 2814 Vienna View CT SW, Canton, OH 44706-5629
Phone: (330) 639-8258

Authorised official

Name: Tammi R Nelson
Title: Owner
Phone: (330) 639-8258

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Ohio →

Registry record

NPI: 1497524250
Entity type: Organization
NPI issued: 21 Dec 2023
Record last updated: 21 Dec 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.