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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. COREY WALLACE

Active Sole Proprietor

MR. COREY WALLACE is a Respite Care (Camp) healthcare provider located in CANTON, Ohio. NPI 1356027999 is currently active in the NPPES registry. Verify at CMS.

Respite Care (Camp) · CANTON, OH

Registration Details

NPI Number
1356027999
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2023 (3.1662375625684 yrs)
Last Updated
Jun 27, 2023
Sole Proprietor
Yes

Practice Information

Address
2460 25TH ST NE
CANTON, OH, 447052468
Browse OH providers · Browse ZIP 44705
Phone
3307040134
Primary Specialty
Respite Care (Camp)
385HR2060X

Other Respite Care (Camp) Providers in CANTON, OH

Name Credential NPI
LINDA S WARD 1508049685
AMEER MOSLEY 1841702487
ANDREA M PINKNEY 1013507920
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.