Individual provider · NPI-1

Carlisa Benton

Homemaker · Toledo, OH

NPI number1093310740
StatusActive
Last updated in NPPESMar 17, 2025

Details

NPI
1093310740
Entity type
Individual (NPI-1)
Name
Carlisa Benton
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 1, 2020
Certification date
Mar 17, 2025
Last updated
Mar 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes
347C00000X Private VehicleJCV7014OH
3747P1801X Technician, Personal Care Attendant––

Practice location

1211 Parkside Blvd
Toledo, OH 43607-3765

Phone 419-690-4136

Mailing address

1211 Parkside Blvd
Toledo, OH 43607-3765

Phone 419-690-4136

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