Healthcare Provider Details

I. General information

NPI: 1003507005
Provider Name (Legal Business Name): LITTLE BLESSING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 N ERIE ST
TOLEDO OH
43604-2105
US

IV. Provider business mailing address

1520 N ERIE ST
TOLEDO OH
43604-2105
US

V. Phone/Fax

Practice location:
  • Phone: 567-801-0044
  • Fax:
Mailing address:
  • Phone: 567-801-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANELLE LEWIS
Title or Position: OWNER
Credential:
Phone: 567-801-0044