MEDICARE: SANDRA KAY HOWARD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	3747A0650X	Attendant Care Provider
3	374U00000X	Home Health Aide
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1740065887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA KAY HOWARD

Provider Business Mailing Address
First Line	:	1301 BUCKINGHAM ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-4363
Country	:	US
Telephone Number	:	419-244-4530
Fax Number	:

Provider Business Practice Location Address
First Line	:	2475 COLLINGWOOD BLVD STE 111
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43620-1180
Country	:	US
Telephone Number	:	586-217-0276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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