MR. COREY WALLACE
NPI 1356027999
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Canton, OH

Active since June 27, 2023
2460 25TH ST NE, CANTON, OH 44705(330) 704-0134 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Corey Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. COREY WALLACE (NPI 1356027999) is an individual respite care, intellectual and/or developmental disabilities provider in Canton, Ohio and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1356027999
Entity TypeIndividualMale
Primary Taxonomy385HR2060X
Provider Legal NameMR. COREY WALLACE
Location Address2460 25TH ST NECanton, OH 44705-2468
Mailing Address2460 25th St NeCanton, OH 44705-2468 · (330) 704-0134
Sole ProprietorYes
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1356027999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code385HR2060X
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
2460 25TH ST NE, Canton, OH 44705

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Contractor
2460 25TH ST NE
CANTON, OH 44705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Wallace's NPI number?

The NPI number for Corey Wallace is 1356027999. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Corey Wallace located?

Corey Wallace practices at 2460 25th St NE, Canton, OH 44705. The listed phone number is (330) 704-0134.

What is Corey Wallace's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Corey Wallace was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.