Healthcare Provider Details

I. General information

NPI: 1174070999
Provider Name (Legal Business Name): CONNECTING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5461 SOUTHWYCK BLVD STE 1A
TOLEDO OH
43614-1535
US

IV. Provider business mailing address

5461 SOUTHWYCK BLVD STE 1A
TOLEDO OH
43614-1535
US

V. Phone/Fax

Practice location:
  • Phone: 567-742-7322
  • Fax:
Mailing address:
  • Phone: 567-742-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMIKA D KEMP
Title or Position: CEO
Credential:
Phone: 567-742-7322