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Latisha Crockett
Assisted Living Facility in Toledo, Ohio
NPI 1235543893

Latisha Crockett is an Assisted Living Facility based in Toledo, OH. Latisha Crockett practices in Toledo, OH. The NPI Number for Latisha Crockett is 1235543893 and holds a License No. 400676531007 (Ohio).

The current practice location address for Latisha Crockett is 320 Eldred Ave, Toledo, OH and can be reached out via phone at 419-810-2230.

Location: 320 Eldred Ave, Toledo, OH, 43609-2135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235543893
Provider Name
Latisha Crockett
Credential
Provider Entity Type
Individual
Gender
Female
Address
320 Eldred Ave, Toledo, OH, 43609-2135
Phone Number
419-810-2230
Fax Number
Provider Enumeration Date
06/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 Eldred Ave
City
Toledo
State
Ohio
Zip
43609-2135
Phone Number
419-810-2230
Fax Number
person
Provider Business Mailing Address Details
Address
320 Eldred Ave
City
Toledo
State
Ohio
Zip
43609-2135
Phone Number
419-810-2230
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
400676531007 (Ohio)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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