Organization
SHANNON A. ADAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ANN ADAMS CRMA (OWNER)
(614) 206-4415
Entity
Organization
Contact information
Practice address
1829 FREDONIA AVE, TOLEDO, OH 43608-1626
(614) 206-4415
Mailing address
1829 FREDONIA AVE, TOLEDO, OH 43608-1626
(614) 206-4415
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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