Provider Demographics
NPI:1558776898
Name:ALL CAN TRULY SERVE, CO.
Entity Type:Organization
Organization Name:ALL CAN TRULY SERVE, CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SILVEOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-360-0347
Mailing Address - Street 1:8442 COUNTY ROAD 3
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-9781
Mailing Address - Country:US
Mailing Address - Phone:419-360-0437
Mailing Address - Fax:
Practice Address - Street 1:8442 COUNTY ROAD 3
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:OH
Practice Address - Zip Code:43558-9781
Practice Address - Country:US
Practice Address - Phone:419-360-0437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services