Organization
GENSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARY A DUNIGAN SLP (SPEECH LANGUAGE PATHOLOGIST)
(517) 902-6224
Entity
Organization
Contact information
Practice address
330 WEST CRAWFORD AVE, TOLEDO, OH 43612
(517) 902-6224
Mailing address
330 W CRAWFORD AVE, TOLEDO, OH 43612-3451
(517) 902-6224
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
—
Enumeration date
10/29/2010
Last updated
10/29/2010
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