Organization
RESP & CRITICAL CARE SRVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDE CODY (PROVIDER ENROLLMET)
(419) 251-3740
Entity
Organization
Contact information
Practice address
2409 CHERRY ST #305, TOLEDO, OH 43608
(419) 251-3740
(419) 251-3859
Mailing address
2409 CHERRY ST #305, TOLEDO, OH 43608
(419) 251-3740
(419) 251-3859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258466
—
OH
Enumeration date
05/12/2006
Last updated
12/20/2007
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