Organization
SMOOKA BEAR HOME HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORIS PENROSE (CHIEF OF EXECUTIVE)
(419) 787-7306
Entity
Organization
Contact information
Practice address
112 ROSALIND PL, TOLEDO, OH 43610-1536
(419) 787-7306
Mailing address
112 ROSALIND PLACE, TOLEDO, OH 43610
(419) 787-7306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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