Individual
MISS LATANGELA SHANIES HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP
Contact information
Practice address
860 HAMPTON AVE, TOLEDO, OH 43609-3075
(419) 516-9807
Mailing address
860 HAMPTON AVE, TOLEDO, OH 43609-3075
(419) 516-9807
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
40099821109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4810338
—
OH
Enumeration date
10/25/2022
Last updated
10/25/2022
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