MEDICARE: CK TOLEDO, INC

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
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689878464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CK TOLEDO, INC

Provider Business Mailing Address
First Line	:	2451 N REYNOLDS RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-2840
Country	:	US
Telephone Number	:	419-535-7777
Fax Number	:	419-535-7120

Provider Business Practice Location Address
First Line	:	2451 N REYNOLDS RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-2840
Country	:	US
Telephone Number	:	419-535-7777
Fax Number	:	419-535-7120

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MRS. JULIE E KUNEY
Credential	:
Telephone Number	:	419-535-7777

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	06/23/2008

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