# MARY ELLA HOMES & PROVIDER SERVICES, LLC

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

## Provider details

- **NPI number:** 1659299097
- **Authorized official:** SHALONDA EZELL (OWNER/CEO)
- **Authorized official phone:** (419) 245-8742

## Contact information

- **Practice address:** 928 WALL ST, TOLEDO, OH 43610-1284
- **Practice address phone:** (419) 245-8742
- **Mailing address:** 2111 DORR ST, TOLEDO, OH 43607-3743
- **Mailing address phone:** (419) 245-8742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 07/06/2026