Individual
DOROTHY MAE SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 WESTMAR CT APT 155, TOLEDO, OH 43615-2009
(419) 754-3714
Mailing address
2721 WESTCASTLE DR UNIT D, TOLEDO, OH 43615-2071
(419) 350-7152
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4808355
—
OH
Enumeration date
09/18/2020
Last updated
09/18/2020
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