=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457250276
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASHFORD RESIDENTIAL SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2026
-----------------------------------------------------
Last Update Date | 11/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1245 E BEVERLY HILLS DR
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43614-2206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-309-7432
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1245 E BEVERLY HILLS DR
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43614-2206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-309-7432
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | NAWOKA M ASHFORD
-----------------------------------------------------
Credential | PROVIDER
-----------------------------------------------------
Telephone | 419-309-7432
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------