LATISHA CROCKETT

Assisted Living Facility

Active Individual
NPI: 1235543893

Practice Address

320 ELDRED AVE
Toledo, OH 43609

Phone: (419) 810-2230

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 400676531007 (OH)

Frequently Asked Questions

NPI 1235543893 is the National Provider Identifier for LATISHA CROCKETT, a Assisted Living Facility provider located in Toledo, OH. This NPI was enumerated on June 11, 2014.
LATISHA CROCKETT practices at 320 ELDRED AVE, Toledo, OH 43609.

Quick Facts

NPI
1235543893
Type
Individual
Enumerated
Jun 11, 2014
Last Updated
Jun 11, 2014

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