# ASSURANCE CARE SYSTEMS LLC,

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407396294
- **Authorized official:** DEAVONTE J WILLIAMS (CEO)
- **Authorized official phone:** (567) 315-6609

## Contact information

- **Practice address:** 2720 HOEHLER DR, TOLEDO, OH 43606-3908
- **Practice address phone:** (567) 315-6609
- **Mailing address:** 2720 HOEHLER DR, TOLEDO, OH 43606-3908
- **Mailing address phone:** (567) 315-6609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 4809149 | OH | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0195349 | — | OH |