Organization
SANDY LEE DIRECT CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL A POWELL (OWNER/MANAGER)
(419) 936-4998
Entity
Organization
Contact information
Practice address
2605 CHESTNUT ST, TOLEDO, OH 43608-2407
(567) 260-0746
Mailing address
2605 CHESTNUT ST, TOLEDO, OH 43608-2407
(567) 260-0746
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
02/17/2021
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