Healthcare Provider Details

I. General information

NPI: 1427985779
Provider Name (Legal Business Name): SHELTER RECOVERY SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 SUNSET BLVD
TOLEDO OH
43612-2569
US

IV. Provider business mailing address

307 SUNSET BLVD
TOLEDO OH
43612-2569
US

V. Phone/Fax

Practice location:
  • Phone: 419-934-3235
  • Fax:
Mailing address:
  • Phone: 419-934-3235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN CUNNINGHAM
Title or Position: CEO
Credential: AO
Phone: 419-934-3235