Provider Demographics
NPI:1518628007
Name:HALE, TOYA (DODD)
Entity Type:Individual
Prefix:MS
First Name:TOYA
Middle Name:
Last Name:HALE
Suffix:
Gender:F
Credentials:DODD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 ROE CT SE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44707-3460
Mailing Address - Country:US
Mailing Address - Phone:216-797-0905
Mailing Address - Fax:
Practice Address - Street 1:1322 ROE CT SE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44707-3460
Practice Address - Country:US
Practice Address - Phone:330-685-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health