Healthcare Provider Details

I. General information

NPI: 1487333191
Provider Name (Legal Business Name): SEYMORE HEALTHCARE SERVICES LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

962 S REYNOLDS RD
TOLEDO OH
43615-7057
US

IV. Provider business mailing address

962 S REYNOLDS RD
TOLEDO OH
43615-7057
US

V. Phone/Fax

Practice location:
  • Phone: 419-206-8488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMESHA SHARAYE LINDSEY
Title or Position: DOO/CEO
Credential: RN
Phone: 419-206-8488