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Shalonda C Ezell
Child Intellectual and/or Developmental Disabilities Respite Care in Toledo, Ohio
NPI 1679175731

Shalonda C Ezell is a Child Intellectual and/or Developmental Disabilities Respite Care based in Toledo, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Shalonda C Ezell practices in Toledo, OH. The NPI Number for Shalonda C Ezell is 1679175731 and holds a License No. 0087056 (Ohio).

The current practice location address for Shalonda C Ezell is 2726 Lawrence Ave, Toledo, OH and can be reached out via phone at 419-245-8742. You can also correspond with Shalonda C Ezell through the mailing address at 2726 LAWRENCE AVE, TOLEDO, OH - 43610-1276 (mailing address contact number: 419-245-8742).

Location: 2726 Lawrence Ave, Toledo, OH, 43610-1276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679175731
Provider Name
Shalonda C Ezell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2726 Lawrence Ave, Toledo, OH, 43610-1276
Phone Number
419-245-8742
Fax Number
Provider Enumeration Date
11/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2726 Lawrence Ave
City
Toledo
State
Ohio
Zip
43610-1276
Phone Number
419-245-8742
Fax Number
person
Provider Business Mailing Address Details
Address
2726 Lawrence Ave
City
Toledo
State
Ohio
Zip
43610-1276
Phone Number
419-245-8742
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
0087056 (Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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