NPI 1598170680

Hansel Stubbs

Practitioner PACE Provider Organization Toledo, OH

Practice location

Address: 1205 Moran Ave APT 105, Toledo, OH 43607-2758
Phone: (419) 539-6804

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Ohio →

Registry record

NPI: 1598170680
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2014
Record last updated: 26 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.