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NPI Code Detail

MEDICARE: MIAISHA MYCOLE BLAIR

MEDICARE: MIAISHA MYCOLE BLAIR
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 : 1528913746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIAISHA MYCOLE BLAIR
Provider Business Mailing Address
First Line : 1425 STARR AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2456
Country : US
Telephone Number : 419-936-7600
Fax Number : 419-936-7606
Provider Business Practice Location Address
First Line : 544 E WOODRUFF AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5342
Country : US
Telephone Number : 419-242-9577
Fax Number : 419-936-7606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ MIAISHA MYCOLE BLAIR ” Practice Location

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