Organization
ASSISTED CARE BY BLACK STONE OF TOLEDO, LLC
Active
Other names
Assisted Care by Black Stone of Toledo
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
4427 TALMADGE RD STE F, TOLEDO, OH 43623-3515
(419) 861-3333
(419) 861-4444
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416390
—
OH
Enumeration date
08/01/2019
Last updated
05/06/2021
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