Organization
181 ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA MITCHELL (EXECUTIVE DIRECTOR)
(419) 322-5711
Entity
Organization
Contact information
Practice address
703 S BYRNE RD, TOLEDO, OH 43609-1005
(567) 318-5005
Mailing address
703 S BYRNE RD, TOLEDO, OH 43609-1005
(567) 318-5005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084191
—
OH
Enumeration date
06/13/2016
Last updated
05/01/2025
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