Healthcare Provider Details

I. General information

NPI: 1457292047
Provider Name (Legal Business Name): NEOHIO MED STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 MAYFLOWER DR
BOARDMAN OH
44512-6210
US

IV. Provider business mailing address

123 MAYFLOWER DR
BOARDMAN OH
44512-6210
US

V. Phone/Fax

Practice location:
  • Phone: 234-201-2547
  • Fax: 234-201-2547
Mailing address:
  • Phone: 234-201-2547
  • Fax: 234-201-2547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TONYA MARIE COLLIER
Title or Position: OWNER
Credential:
Phone: 234-201-2547