Organization
ASSURANCE CARE SYSTEMS LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAVONTE J WILLIAMS (CEO)
(567) 315-6609
Entity
Organization
Contact information
Practice address
2720 HOEHLER DR, TOLEDO, OH 43606-3908
(567) 315-6609
Mailing address
2720 HOEHLER DR, TOLEDO, OH 43606-3908
(567) 315-6609
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4809149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195349
—
OH
Enumeration date
02/28/2017
Last updated
02/28/2017
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