Most Relevant Information
Provider Data
| NPI Number: | 1003410069 |
| Provider Name: | SANDRA S EVANS |
| Entity Type: | Individual |
| Taxonomy Code: | 251C00000X |
| Specialty: | Day Training, Developmentally Disabled Services |
| License Number: | 7606657 |
Most Important Dates
| Enumeration Date: | 11/30/2020 |
| Last Updated: | 11/30/2020 |
Provider Practice Location
5022 CLARDELL AVE SW
CANTON
OH
447064351
Practice Location Phone/Fax
| Phone: | 3303098134 |
| Fax: |
Provider Mailing Location
5022 CLARDELL AVE SW
CANTON
OH
447064351
Provider Mailing Phone/Fax
| Phone: | 3303098134 |
| Fax: |