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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATISHA CROCKETT

Active Sole Proprietor

LATISHA CROCKETT is a Assisted Living Facility healthcare provider located in TOLEDO, Ohio. NPI 1235543893 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · TOLEDO, OH

Registration Details

NPI Number
1235543893
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2014 (12.197962325919 yrs)
Last Updated
Jun 11, 2014
License
400676531007 (OH)
Sole Proprietor
Yes

Practice Information

Address
320 ELDRED AVE
TOLEDO, OH, 436092135
Browse OH providers · Browse ZIP 43609
Phone
4198102230
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.