Organization
SALUBRIOUS WELLCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IESHA AUSTIN-OWENS (OWNER)
(419) 486-9685
Entity
Organization
Contact information
Practice address
1850 EASTGATE RD STE B, TOLEDO, OH 43614-3024
(419) 486-9685
Mailing address
1850 EASTGATE RD STE B, TOLEDO, OH 43614-3024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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