Healthcare Provider Details

I. General information

NPI: 1912462748
Provider Name (Legal Business Name): A WYSE CHOICE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N MICHIGAN ST STE D1
TOLEDO OH
43604-5646
US

IV. Provider business mailing address

421 N MICHIGAN ST STE D1
TOLEDO OH
43604-5646
US

V. Phone/Fax

Practice location:
  • Phone: 419-913-0089
  • Fax: 419-932-9249
Mailing address:
  • Phone: 419-913-0089
  • Fax: 419-932-9249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CAMISHA MINCEY
Title or Position: OWNER
Credential:
Phone: 419-464-2556