Provider Demographics
NPI:1487333191
Name:SEYMORE HEALTHCARE SERVICES LTD.
Entity type:Organization
Organization Name:SEYMORE HEALTHCARE SERVICES LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMESHA
Authorized Official - Middle Name:SHARAYE
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-206-8488
Mailing Address - Street 1:962 S REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-7057
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:962 S REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-7057
Practice Address - Country:US
Practice Address - Phone:419-206-8488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service