| Andrea J Davis | |
|
2602 Nebraska Ave Toledo OH 43607-3241 | |
| (419) 318-9121 | |
| Not Available |
| Full Name | Andrea J Davis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2602 Nebraska Ave, Toledo, Ohio |
| Authorized Official Name and Position | Andrea Jo'lea Davis (OWNER) |
| Authorized Official Contact | 4193769377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea J Davis Po Box 1022 Holland OH 43528-1022 Ph: (419) 376-9377 | Andrea J Davis 2602 Nebraska Ave Toledo OH 43607-3241 Ph: (419) 318-9121 |
| NPI Number | 1780281634 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780281634 | NPI | - | NPPES |
| 0399049 | Medicaid | OH | |
| 0290209 | Medicaid | OH | |
| 0292454 | Medicaid | OH |
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