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Organization

FAWN CREST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY GREEN (OWNER)
(419) 508-3933
Entity
Organization

Contact information

Practice address
1614 S BYRNE RD, TOLEDO, OH 43614-3464
(419) 508-3933
Mailing address
8947 ROYAL OAK DR, HOLLAND, OH 43528-9033

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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