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Individual

LATOYIA WOODSON BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
650 WHISPERWOOD PKWY, HOLLAND, OH 43528-7868
(567) 686-9272
Mailing address
650 WHISPERWOOD PKWY, HOLLAND, OH 43528-7868
(567) 686-9272

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN.155018.MEDS-IV
OH
172A00000X
Driver
174200000X
Meals Provider
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary
261QA0600X
Adult Day Care Clinic/Center
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
385H00000X
Respite Care

Other

Enumeration date
09/05/2023
Last updated
11/14/2023
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