Healthcare Provider Details

I. General information

NPI: 1003746215
Provider Name (Legal Business Name): RITA ELLEN PERKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 INDIANA AVE
TOLEDO OH
43604-8005
US

IV. Provider business mailing address

669 INDIANA AVE
TOLEDO OH
43604-8005
US

V. Phone/Fax

Practice location:
  • Phone: 419-244-2175
  • Fax:
Mailing address:
  • Phone: 419-244-2175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: