Assisted Care By Black Stone Of Toledo, LLC
Nursing Care in Toledo, OH. Organization (NPI-2).
NPI number1053965541
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1053965541
- Entity type
- Organization (NPI-2)
- Legal business name
- Assisted Care By Black Stone Of Toledo, LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2019
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
Other names
- Assisted Care By Black Stone Of Toledo (Doing Business As)
Practice location
4427 Talmadge Rd Ste FToledo, OH 43623-3515
Phone 419-861-3333 · Fax 419-861-4444
Mailing address
Po Box 51266Lafayette, LA 70505-1266
Phone 337-233-1307
Authorized official
Nicholas Gachassin
Executive Vice President
3372331307
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