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

MS. TARESSA M. KEBBEH

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · CANTON, OH

Registration Details

NPI Number: 1871322321
Provider Type: Individual
Gender: Female
NPI Issued: Jul 31, 2024 (1.7253448575758 yrs)
Last Updated: Jul 31, 2024
Sole Proprietor: Yes

Practice Information

Address: 1110 WERTZ AVE SW

CANTON, OH, 447102036
Browse OH providers · Browse ZIP 44710
Phone: 3303278011
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X
Additional Specialty: In Home Supportive Care Agency
Additional Specialty: ICF/Individuals with Intellectual Disabilities
Additional Specialty: Adult Companion
Additional Specialty: Emotionally Disturbed Children Residential Treatment

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.