Individual
HEAVEN SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2744 PROVINCETOWNE DR, TOLEDO, OH 43613-1003
(419) 349-1964
Mailing address
1750 BRIM DR, TOLEDO, OH 43613-1702
(419) 356-2968
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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