MEDICARE: FOTS DEPENDABLE CARE SOLUTIONS, LLC

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	164W00000X	Licensed Practical Nurse

General Provider Information

NPI Number	:	1649091554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOTS DEPENDABLE CARE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	2437 KNIGHTS HILL LN
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1034
Country	:	US
Telephone Number	:	419-340-8492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2437 KNIGHTS HILL LN
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1034
Country	:	US
Telephone Number	:	419-340-8492
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAREN E SKEELS
Credential	:	LPN
Telephone Number	:	419-340-8492

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	11/12/2024

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