FRESH LIGHT PROMISES LLC NPI 1912694910

NPI Information

NPI: 1912694910
Provider Name: FRESH LIGHT PROMISES LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
628 PINEWOOD AVE
TOLEDO, OH
ZIP 43604
Phone: (419) 266-3676
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FRESH LIGHT PROMISES LLC is a community based residential treatment facility mental illness in Toledo, OH. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FRESH LIGHT PROMISES LLC NPI is 1912694910. The provider is registered as an organization entity type.

The provider's business location address is:

628 PINEWOOD AVE
TOLEDO, OH
ZIP 43604-012
Phone: (419) 266-3676

The provider's authorized official is Keisha Snow-veley .
The authorized official title is Owner and has the following contact phone number (419) 266-3676.

The enumeration date for this NPI number is 4/19/2023 and was last updated on 4/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253Z00000X	In Home Supportive Care				No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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