MEDICARE: YULONDA BLATHERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1497480610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULONDA BLATHERS

Provider Business Mailing Address
First Line	:	445 CRITTENDEN AVE LOWR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-2897
Country	:	US
Telephone Number	:	623-216-0247
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 CRITTENDEN AVE LOWR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-2897
Country	:	US
Telephone Number	:	623-216-0247
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2022
Last Update Date	:	12/23/2023

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Directions to “ YULONDA BLATHERS ” Practice Location

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