Organization
KREWS SUPPORTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY WHITE (OWNER)
(419) 901-4789
Entity
Organization
Contact information
Practice address
3248 SOUTH AVE, TOLEDO, OH 43609-1104
(419) 901-4789
Mailing address
3248 SOUTH AVE, TOLEDO, OH 43609-1104
(419) 901-4789
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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