Individual provider · Type 1 NPI
Latisha Crockett
Assisted Living Facility · Toledo, OH
NPI number
1235543893
Active
Practice location
320 Eldred Ave
Toledo, OH 43609-2135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 400676531007 (OH) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1235543893
Latisha Crockett's National Provider Identifier is 1235543893, issued on Jun 11, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Toledo, OH. The record was last updated on Jun 11, 2014.