Organization
RVILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA RENEE RUSSELL (DIRECTOR OF OPERATIONS)
(419) 309-2719
Entity
Organization
Contact information
Practice address
817 BROOKLEY BLVD, TOLEDO, OH 43607-3157
(419) 309-2719
Mailing address
3420 FRANKLIN AVE, TOLEDO, OH 43608-1002
(419) 309-2719
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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