| Assurance Health Toledo Llc | |
|
4040 King Rd Sylvania OH 43560-4442 | |
| (317) 870-1396 | |
| Not Available |
| Full Name | Assurance Health Toledo Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 4040 King Rd, Sylvania, Ohio |
| Authorized Official Name and Position | Morris Long (OWNER) |
| Authorized Official Contact | 3178701396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assurance Health Toledo Llc 8465 Keystone Xing Ste 210 Indianapolis IN 46240-4354 Ph: (317) 870-1396 | Assurance Health Toledo Llc 4040 King Rd Sylvania OH 43560-4442 Ph: (317) 870-1396 |
| NPI Number | 1477170439 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 7618387192 |
|---|---|
| Medicare Enrollment ID | O20201112001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477170439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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