Organization
MUDD MADE T SHIRTS R VILLAGE
Active
Other names
R Village Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMARA R RUSSELL (DIRECTOR OF OPERATIONS)
(419) 309-2719
Entity
Organization
Contact information
Practice address
3420 FRANKLIN AVE, TOLEDO, OH 43608-1002
(419) 309-2719
Mailing address
3420 FRANKLIN AVE, TOLEDO, OH 43608-1002
(419) 309-2719
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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