Individual
SHARAE W MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 N ONTARIO ST, TOLEDO, OH 43604-1923
(419) 901-6023
Mailing address
1222 N ONTARIO ST, TOLEDO, OH 43604-1923
(419) 901-6023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/08/2024
Last updated
01/07/2025
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