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NPI Code Detail

MEDICARE: FIONNA STALLWORTH QMHS

MEDICARE:   FIONNA  STALLWORTH  QMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1295607885
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIONNA STALLWORTH QMHS
Provider Business Mailing Address
First Line : 1104 METCALF RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6831
Country : US
Telephone Number : 567-288-1281
Fax Number :
Provider Business Practice Location Address
First Line : 1104 METCALF RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6831
Country : US
Telephone Number : 567-288-1281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2025
Last Update Date : 09/22/2025

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Directions to “ FIONNA STALLWORTH QMHS” Practice Location

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