Provider Demographics
NPI:1689878464
Name:CK TOLEDO, INC
Entity type:Organization
Organization Name:CK TOLEDO, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-535-7777
Mailing Address - Street 1:2451 N REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2840
Mailing Address - Country:US
Mailing Address - Phone:419-535-7777
Mailing Address - Fax:419-535-7120
Practice Address - Street 1:2451 N REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2840
Practice Address - Country:US
Practice Address - Phone:419-535-7777
Practice Address - Fax:419-535-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2779328Medicaid