Provider Demographics
NPI:1558065490
Name:SMB SEVEN OF MANY BLESSINGS LLC
Entity Type:Organization
Organization Name:SMB SEVEN OF MANY BLESSINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARON
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-378-2289
Mailing Address - Street 1:540 INDEPENDENCE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-2650
Mailing Address - Country:US
Mailing Address - Phone:419-378-2289
Mailing Address - Fax:
Practice Address - Street 1:540 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2650
Practice Address - Country:US
Practice Address - Phone:419-378-2289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty