Individual
MRS. DENISE KAY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
2249 PARK AVE WEST, MANSFIELD, OH 44906-1228
(419) 522-4298
Mailing address
2249 PARK AVE WEST, MANSFIELD, OH 44906-1228
(419) 522-4298
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2665610
CARESTAR
OH
Enumeration date
05/23/2007
Last updated
10/29/2020
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