Provider Demographics
NPI:1023867512
Name:EAST TOLEDO FAMILY CENTER
Entity type:Organization
Organization Name:EAST TOLEDO FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BREND
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-691-2254
Mailing Address - Street 1:1001 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-3031
Mailing Address - Country:US
Mailing Address - Phone:419-691-2254
Mailing Address - Fax:419-691-2282
Practice Address - Street 1:1001 WHITE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-3031
Practice Address - Country:US
Practice Address - Phone:419-691-2254
Practice Address - Fax:419-691-2282
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAST TOLEDO FAMILY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)