Healthcare Provider Details

I. General information

NPI: 1750394540
Provider Name (Legal Business Name): HHC TOLEDO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 TIMBER LINE RD
MAUMEE OH
43537-4015
US

IV. Provider business mailing address

1725 TIMBER LINE RD
MAUMEE OH
43537-4015
US

V. Phone/Fax

Practice location:
  • Phone: 419-891-9333
  • Fax: 419-891-9330
Mailing address:
  • Phone: 419-891-9333
  • Fax: 419-891-9330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number052440
License Number StateOH

VIII. Authorized Official

Name: MR. MICHAEL CORNELISON
Title or Position: CEO
Credential:
Phone: 419-891-9333