MEDICARE: PEGGY SUE BROOKS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	2278P4000X	Patient Transport Certified Respiratory Therapist
3	253Z00000X	In Home Supportive Care Agency
4	3747P1801X	Personal Care Attendant
5	385H00000X	Respite Care
6	385HR2055X	Child Mental Illness Respite Care
7	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
8	385HR2065X	Child Physical Disabilities Respite Care
9	376J00000X	Homemaker

General Provider Information

NPI Number	:	1932918521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY SUE BROOKS

Provider Business Mailing Address
First Line	:	2129 AIRPORT HWY
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1825
Country	:	US
Telephone Number	:	419-770-7310
Fax Number	:

Provider Business Practice Location Address
First Line	:	2129 AIRPORT HWY
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1825
Country	:	US
Telephone Number	:	419-770-7310
Fax Number	:

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

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	01/23/2025

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Directions to “ PEGGY SUE BROOKS ” Practice Location

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