Provider Demographics
NPI:1851165872
Name:WALKING WITH A PURPOSE
Entity Type:Organization
Organization Name:WALKING WITH A PURPOSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LETONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-804-5100
Mailing Address - Street 1:908 SHERLOCK PL NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2468
Mailing Address - Country:US
Mailing Address - Phone:234-804-5100
Mailing Address - Fax:
Practice Address - Street 1:1700 WOODLAND AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44703-1256
Practice Address - Country:US
Practice Address - Phone:234-804-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health