Individual
MR. ERNEST EUGENE EASLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 TORONTO AVE, TOLEDO, OH 43609-3046
(419) 984-3174
Mailing address
850 TORONTO AVE, TOLEDO, OH 43609-3046
(419) 984-3174
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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